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PACIFIC EMPIRE CHIROPRACTIC A PROFESSIONAL CHIROPRACTIC CORPORATION NPI 1043426166


NPI Information

NPI: 1043426166
Provider Name: PACIFIC EMPIRE CHIROPRACTIC A PROFESSIONAL CHIROPRACTIC CORPORATION

Doing Business As: PACIFIC EMPIRE CHIROPRACTIC A PROFESSIONAL CORPORATION

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4590 RIVERSIDE DR
SUITE B
CHINO, CA
ZIP 91710
Phone: (909) 464-9880
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PACIFIC EMPIRE CHIROPRACTIC A PROFESSIONAL CHIROPRACTIC CORPORATION is a chiropractor in Chino, 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. PACIFIC EMPIRE CHIROPRACTIC A PROFESSIONAL CHIROPRACTIC CORPORATION NPI is 1043426166. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pacific Empire Chiropractic A Professional Corporation.

The provider's business location address is:

4590 RIVERSIDE DR
SUITE B
CHINO, CA
ZIP 91710-980
Phone: (909) 464-9880
Fax: (909) 591-4720

The provider's authorized official is Gary L Sannes .
The authorized official title is Owner and has the following contact phone number (909) 464-9880.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 7/28/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC21111CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ37761ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2U35383MEDICARE UPINCALIFORNIA

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

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