Healthcare Provider Details

I. General information

NPI: 1396668810
Provider Name (Legal Business Name): SUMNER CHIROPRACTIC PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 CAMINO EL ESTERO STE 103
MONTEREY CA
93940-3231
US

IV. Provider business mailing address

PO BOX 221142
CARMEL CA
93922-1142
US

V. Phone/Fax

Practice location:
  • Phone: 831-230-7771
  • Fax:
Mailing address:
  • Phone: 831-230-7771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANDREA RENE SUMNER
Title or Position: PRESIDENT
Credential: DC
Phone: 831-230-7771