Healthcare Provider Details

I. General information

NPI: 1124514013
Provider Name (Legal Business Name): ESKEW CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2018
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 S EUCLID ST STE A
ANAHEIM CA
92802-2078
US

IV. Provider business mailing address

1309 S EUCLID ST STE A
ANAHEIM CA
92802-2078
US

V. Phone/Fax

Practice location:
  • Phone: 714-718-2432
  • Fax: 714-776-1292
Mailing address:
  • Phone: 714-718-2432
  • Fax: 714-776-1292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number14840
License Number StateCA

VIII. Authorized Official

Name: DR. DAVID LEE ESKEW
Title or Position: PRESIDENT
Credential: DC
Phone: 714-776-1197