| Doctor Name: | DR. TIMOTHY JOSHUA URSICH |
| NPI Number: | 1518392521 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DC |
| License Number: | 32718 |
| Business Practice Address: | 28633 S Western Ave Suite 200 Rancho Palos Verdes, CA - 902750827 |
| Business Phone Number: | 3108322622 |
| Business Fax Number: | |
| Mailing Address: | 28633 S Western Ave, Suite 200 RANCHO PALOS VERDES |
| State: | CA |
| Postal Code: | 902750827 |
| Phone Number: | 3108322622 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2013 |
| NPI Last Update Date: | 09/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111NP0017X |
| License Number: | 32718 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | Pediatric Chiropractor |
| Taxonomy Definition: | The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. |