Healthcare Provider Details
I. General information
NPI: 1659218071
Provider Name (Legal Business Name): NOVA UPPER CERVICAL CHIROPRACTIC, JARDIN WEBB, DC, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
325 CARLSBAD VILLAGE DR STE B2
CARLSBAD CA
92008-2928
US
IV. Provider business mailing address
325 CARLSBAD VILLAGE DR STE B2
CARLSBAD CA
92008-2928
US
V. Phone/Fax
- Phone: 760-512-8103
- Fax:
- Phone: 760-512-8103
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JARDIN
WEBB
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 951-345-2412