Healthcare Provider Details

I. General information

NPI: 1366514432
Provider Name (Legal Business Name): RICHARD ARLAND LOOS D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 05/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2334 CARMEL VALLEY RD STE B
DEL MAR CA
92014-3754
US

IV. Provider business mailing address

PO BOX 2528
DEL MAR CA
92014-1828
US

V. Phone/Fax

Practice location:
  • Phone: 858-755-0889
  • Fax: 858-755-6618
Mailing address:
  • Phone: 858-755-0889
  • Fax: 858-755-6618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC26434
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: