MEDICARE: HEALTHY LIVING CHIROPRACTIC

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	DC 30931	CA

General Provider Information

NPI Number	:	1801281035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY LIVING CHIROPRACTIC

Provider Business Mailing Address
First Line	:	11848 BERNARDO PLAZA CT
Second Line	:	SUITE 260
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2416
Country	:	US
Telephone Number	:	858-798-5235
Fax Number	:	858-798-5239

Provider Business Practice Location Address
First Line	:	11848 BERNARDO PLAZA CT
Second Line	:	SUITE 260
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2416
Country	:	US
Telephone Number	:	858-798-5235
Fax Number	:	858-798-5239

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. NGOC-NGA THI TRAN
Credential	:	D.C.
Telephone Number	:	858-798-5235

Provider Enumeration Date	:	04/03/2015
Last Update Date	:	09/08/2016

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Directions to “HEALTHY LIVING CHIROPRACTIC ” Practice Location

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