Healthcare Provider Details

I. General information

NPI: 1952404857
Provider Name (Legal Business Name): RICK JAMES SEARS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 CAMINO DOS RIOS STE 302
NEWBURY PARK CA
91320-1181
US

IV. Provider business mailing address

2820 CAMINO DOS RIOS STE 302
NEWBURY PARK CA
91320-1181
US

V. Phone/Fax

Practice location:
  • Phone: 805-496-1045
  • Fax: 805-496-3202
Mailing address:
  • Phone: 805-496-1045
  • Fax: 805-496-3202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number14232
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: