MEDICARE: LANDIN-LABINGER CHIROPRACTIC, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1508878596	OTHER	CA	HEALTH INSURANCE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013549120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANDIN-LABINGER CHIROPRACTIC, INC

Provider Business Mailing Address
First Line	:	6424 WATT AVE
Second Line	:
City	:	NORTH HIGHLANDS
State	:	CA
Zip	:	95660-3612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6424 WATT AVE
Second Line	:
City	:	NORTH HIGHLANDS
State	:	CA
Zip	:	95660-3612
Country	:	US
Telephone Number	:	916-331-6983
Fax Number	:	916-331-6987

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFF LABINGER
Credential	:	DC
Telephone Number	:	916-331-6983

Provider Enumeration Date	:	02/06/2020
Last Update Date	:	02/06/2020

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