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M E HALOUZKA DC PC NPI 1740479625


NPI Information

NPI: 1740479625
Provider Name: M E HALOUZKA DC PC

Other Name: M E HALOUZKA DC PC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
12348 CREEKVIEW DRIVE
SAN DIEGO, CA
ZIP 92128
Phone: (858) 391-0434
Get Directions

M E HALOUZKA DC PC is a chiropractor in San Diego, 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. M E HALOUZKA DC PC NPI is 1740479625. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is M E Halouzka Dc Pc.

The provider's business location address is:

12348 CREEKVIEW DRIVE
SAN DIEGO, CA
ZIP 92128
Phone: (858) 391-0434

The provider's authorized official is Mary Elizabeth Halouzka .
The authorized official title is Chiropractor and has the following contact phone number (858) 391-0434.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 2/21/2008.


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
1111NS0005XChiropractorSports Physician20615DCCALIFORNIANo
2111N00000XChiropractor20615CALIFORNIAYes

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
1W17196OTHERCALIFORNIAMEDICARE GROUP NUMBER
2U56577MEDICARE UPINCALIFORNIA
3W17196MEDICARE PINCALIFORNIA

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: 4/28/2024

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