BANDALO CHIROPRACTIC INC NPI 1255690368

NPI Information

  • NPI: 1255690368
  • Provider Name: BANDALO CHIROPRACTIC INC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 1428 PHILLIPS LN
    SUITE 300
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Phone: (805) 843-8688

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NPI Details

BANDALO CHIROPRACTIC INC is a chiropractor in San Luis Obispo, 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. BANDALO CHIROPRACTIC INC NPI is 1255690368. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1428 PHILLIPS LN
SUITE 300
SAN LUIS OBISPO, CA
ZIP 93401-537
Phone: (805) 843-8688
Fax: (805) 543-8732

The provider's authorized official is Miro Bandalo .
The authorized official title is President and has the following contact phone number (404) 683-4007.

The enumeration date for this NPI number is 5/9/2012 and was last updated on 5/9/2012.

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
1111N00000XChiropractorDC32149CALIFORNIAYes

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: 11/21/2025

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