Healthcare Provider Details

I. General information

NPI: 1710610977
Provider Name (Legal Business Name): MSCAA ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11185 WHITE ROCK RD STE C
RANCHO CORDOVA CA
95670-6989
US

IV. Provider business mailing address

11185 WHITE ROCK RD STE C
RANCHO CORDOVA CA
95670-6989
US

V. Phone/Fax

Practice location:
  • Phone: 916-631-0010
  • Fax: 916-631-0020
Mailing address:
  • Phone: 916-631-0010
  • Fax: 916-631-0020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MICHAEL S ADAMS
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 916-631-0010