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NPI Code Detail

MEDICARE: SATNICK CHIROPRACTIC INC

MEDICARE: SATNICK 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
1171100000XAcupuncturistAC11437CA
2111NR0400XRehabilitation ChiropractorB1985010318CA

General Provider Information

NPI Number : 1801141338
Entity Type Code : Organization
Provider Name (Legal Business Name) : SATNICK CHIROPRACTIC INC
Provider Business Mailing Address
First Line : 12880 RANCHO PENASQUITOS BLVD STE C
Second Line :
City : SAN DIEGO
State : CA
Zip : 92129-2966
Country : US
Telephone Number : 858-484-2000
Fax Number : 858-484-3414
Provider Business Practice Location Address
First Line : 12880 RANCHO PENASQUITOS BLVD STE C
Second Line :
City : SAN DIEGO
State : CA
Zip : 92129-2966
Country : US
Telephone Number : 858-484-2000
Fax Number : 858-484-3414
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : DR. CLAUDETTE ROSE NASSOOR-SATNICK
Credential : D.C.
Telephone Number : 858-484-2000
Provider Enumeration Date : 07/20/2012
Last Update Date : 03/18/2022

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Directions to “SATNICK CHIROPRACTIC INC ” Practice Location

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