MEDICARE: DR. RICHARD JAY LOTTO 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	DC 29942	CA

General Provider Information

NPI Number	:	1952496606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD JAY LOTTO D.C.

Provider Business Mailing Address
First Line	:	5408 DISCOVERY PARK BLVD
Second Line	:	STE 200
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-2893
Country	:	US
Telephone Number	:	757-220-8552
Fax Number	:	757-220-0162

Provider Business Practice Location Address
First Line	:	3530 ATLANTIC AVE
Second Line	:	SUITE 101
City	:	LONG BEACH
State	:	CA
Zip	:	90807-4569
Country	:	US
Telephone Number	:	562-595-5949
Fax Number	:

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	01/04/2019

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