MEDICARE: PIRANIO KNEPP 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	111N00000X	Chiropractor	DC25584	CA

General Provider Information

NPI Number	:	1194899500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIRANIO KNEPP CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	5252 BALBOA AVE
Second Line	:	SUITE 901
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-6917
Country	:	US
Telephone Number	:	858-560-5022
Fax Number	:	858-560-8092

Provider Business Practice Location Address
First Line	:	5252 BALBOA AVE
Second Line	:	STE 901
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-6917
Country	:	US
Telephone Number	:	858-560-5022
Fax Number	:	858-560-8092

Authorized Official
Title or Position	:	CFO
Name	:	DAVID ANDREW KNEPP
Credential	:	DC
Telephone Number	:	858-560-5022

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	09/02/2008

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