MEDICARE: SEKITO 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	171100000X	Acupuncturist	AC3996	CA
2	111N00000X	Chiropractor	DC15034	CA

General Provider Information

NPI Number	:	1932267697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEKITO CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	1465 MORENA BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-3725
Country	:	US
Telephone Number	:	619-275-6565
Fax Number	:	619-275-0300

Provider Business Practice Location Address
First Line	:	1465 MORENA BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-3725
Country	:	US
Telephone Number	:	619-275-6565
Fax Number	:	619-275-0300

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JUNKO SEKITO
Credential	:	D.C., L.AC.
Telephone Number	:	619-275-6565

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	01/19/2011

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