MEDICARE: DR. DAVID CHRISTOPHER SALES DC

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	111NS0005X	Sports Physician Chiropractor	28850	CA

General Provider Information

NPI Number	:	1972779890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CHRISTOPHER SALES DC

Provider Business Mailing Address
First Line	:	26841 CALLE HERMOSA
Second Line	:	A
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624-1635
Country	:	US
Telephone Number	:	949-488-9600
Fax Number	:	949-488-9601

Provider Business Practice Location Address
First Line	:	26841 CALLE HERMOSA
Second Line	:	A
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624-1635
Country	:	US
Telephone Number	:	949-488-9600
Fax Number	:	949-488-9601

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	04/30/2008

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