Doctor Name: | DR. JAN CARLO ZEGARRA |
NPI Number: | 1124266135 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 32913 |
Business Practice Address: | 74 Icon Foothill Ranch, CA - 926103000 |
Business Phone Number: | 7872348371 |
Business Fax Number: | 9492714671 |
Mailing Address: | 74 Icon, FOOTHILL RANCH |
State: | CA |
Postal Code: | 926103000 |
Phone Number: | 7872348371 |
Fax Number: | 9492714671 |
NPI Enumeration Date: | 01/29/2009 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 32913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |