Healthcare Provider Details

I. General information

NPI: 1821108796
Provider Name (Legal Business Name): OSBORNE CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5814 VAN ALLEN WAY 175
CARLSBAD CA
92008-7358
US

IV. Provider business mailing address

5814 VAN ALLEN WAY 175
CARLSBAD CA
92008-7358
US

V. Phone/Fax

Practice location:
  • Phone: 760-602-0262
  • Fax:
Mailing address:
  • Phone: 760-602-0262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC 28711
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 19272
License Number StateCA

VIII. Authorized Official

Name: DR. ANDY DAVID OSBORNE
Title or Position: OWNER
Credential: D.C.
Phone: 760-602-0262