Healthcare Provider Details

I. General information

NPI: 1124660071
Provider Name (Legal Business Name): FALVEY CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2019
Last Update Date: 10/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15706 POMERADO RD STE 206
POWAY CA
92064-2033
US

IV. Provider business mailing address

15706 POMERADO RD STE 206
POWAY CA
92064-2033
US

V. Phone/Fax

Practice location:
  • Phone: 858-859-8529
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE FALVEY
Title or Position: CEO
Credential: DC
Phone: 626-487-8900