MEDICARE: DR. ROBERT DOMINIC CLARIZIO D.C.

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	DC25049	CA

General Provider Information

NPI Number	:	1336105667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT DOMINIC CLARIZIO D.C.

Provider Business Mailing Address
First Line	:	638 W DUARTE RD
Second Line	:	SUITE 16
City	:	ARCADIA
State	:	CA
Zip	:	91007-7616
Country	:	US
Telephone Number	:	626-447-0447
Fax Number	:	626-447-0324

Provider Business Practice Location Address
First Line	:	638 W DUARTE RD
Second Line	:	SUITE 16
City	:	ARCADIA
State	:	CA
Zip	:	91007-7616
Country	:	US
Telephone Number	:	626-447-0447
Fax Number	:	626-447-0324

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	08/12/2011

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