Healthcare Provider Details

I. General information

NPI: 1023208352
Provider Name (Legal Business Name): JOEL PETER ZINGERMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 CATALPA RD
CARLSBAD CA
92011-5106
US

IV. Provider business mailing address

1712 CATALPA RD
CARLSBAD CA
92011-5106
US

V. Phone/Fax

Practice location:
  • Phone: 760-603-8883
  • Fax: 866-312-4239
Mailing address:
  • Phone: 760-603-8883
  • Fax: 866-312-4239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-30031
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: