Healthcare Provider Details

I. General information

NPI: 1841048188
Provider Name (Legal Business Name): EMBARKWELL CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2024
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17823 N 135TH DR
SUN CITY WEST AZ
85375-4932
US

IV. Provider business mailing address

17823 N 135TH DR
SUN CITY WEST AZ
85375-4932
US

V. Phone/Fax

Practice location:
  • Phone: 650-262-1133
  • Fax: 833-490-1298
Mailing address:
  • Phone: 650-262-1133
  • Fax: 833-490-1298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS PARIAN
Title or Position: OWNER
Credential: DC
Phone: 650-262-1133