COSTANTINO CHIROPRACTIC CORPORATION NPI 1073871547

NPI Information

NPI: 1073871547
Provider Name: COSTANTINO CHIROPRACTIC CORPORATION

Doing Business As: HEALTH SOURCE CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1100 PACIFIC COAST HWY
SUITE A
HERMOSA BEACH, CA
ZIP 90254
Phone: (310) 798-3227
Get Directions

COSTANTINO CHIROPRACTIC CORPORATION is a chiropractor in Hermosa Beach, CA. The provider is 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. COSTANTINO CHIROPRACTIC CORPORATION NPI is 1073871547. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Health Source Chiropractic.

The provider's business location address is:

1100 PACIFIC COAST HWY
SUITE A
HERMOSA BEACH, CA
ZIP 90254-951
Phone: (310) 798-3227
Fax: (310) 798-3229

The provider's authorized official is Matthew David Costantino .
The authorized official title is Owner/ceo and has the following contact phone number (310) 798-3227.

The enumeration date for this NPI number is 5/2/2012 and was last updated on 5/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		21279	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DC21279	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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