DR. SCOTT SOUTH CORONA CHIROPRACTIC CENTER INC. NPI 1063636371

NPI Information

  • NPI: 1063636371
  • Provider Name: DR. SCOTT SOUTH CORONA CHIROPRACTIC CENTER INC.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: ACTIVE LIFE CHIROPRACTIC PAIN RELIEF AND WELLNESS CENTER
  • Address: 4260 CENTRAL AVE
    RIVERSIDE, CA
    ZIP 92506
  • Phone: (951) 686-5040

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NPI Details

DR. SCOTT SOUTH CORONA CHIROPRACTIC CENTER INC. is a chiropractor in Riverside, 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. DR. SCOTT SOUTH CORONA CHIROPRACTIC CENTER INC. NPI is 1063636371. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Active Life Chiropractic Pain Relief And Wellness Center.

The provider's business location address is:

4260 CENTRAL AVE
RIVERSIDE, CA
ZIP 92506-937
Phone: (951) 686-5040
Fax: (951) 686-5049

The provider's authorized official is Robert Jeffery Scott .
The authorized official title is Owner, Clinician and has the following contact phone number (951) 686-5040.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 2/26/2010.

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
1111N00000XChiropractorDC26137CALIFORNIAYes

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
1DC0261370MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2X70152MEDICARE UPINCALIFORNIA
3U85360MEDICARE UPINCALIFORNIA
4ZZZ22861ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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: 3/30/2025

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