Doctor Name: | DR. KAISA MCDONNALL COPPOLA |
NPI Number: | 1326070608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 29647 |
Business Practice Address: | 30270 Rancho Viejo Rd Suite G San Juan Capistrano, CA - 926751556 |
Business Phone Number: | 9495456116 |
Business Fax Number: | 9495456117 |
Mailing Address: | 30270 Rancho Viejo Rd, Suite G SAN JUAN CAPISTRANO |
State: | CA |
Postal Code: | 926751556 |
Phone Number: | 9495456116 |
Fax Number: | 9495456117 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 01/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 29647 |
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. |