Healthcare Provider Details

I. General information

NPI: 1013308675
Provider Name (Legal Business Name): DAVID SALVATORE SOSA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 ENCINITAS BLVD #100
ENCINITAS CA
92024-3741
US

IV. Provider business mailing address

2250 CAMINO DE LA REINA UNIT 204
SAN DIEGO CA
92108-5519
US

V. Phone/Fax

Practice location:
  • Phone: 760-753-2157
  • Fax:
Mailing address:
  • Phone: 716-998-4239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number33150
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: