Healthcare Provider Details

I. General information

NPI: 1689581787
Provider Name (Legal Business Name): PERRY FAMILY CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 F ST
CHULA VISTA CA
91910-2818
US

IV. Provider business mailing address

236 F ST
CHULA VISTA CA
91910-2818
US

V. Phone/Fax

Practice location:
  • Phone: 619-420-7858
  • Fax: 619-420-4569
Mailing address:
  • Phone: 619-420-7858
  • Fax: 619-420-4569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GRANT PERRY
Title or Position: OWNER
Credential:
Phone: 619-420-7858