Healthcare Provider Details

I. General information

NPI: 1770700973
Provider Name (Legal Business Name): GIANNE LINDSEY BRINTWOOD D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 04/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10432 RESERVE DRIVE SUITE 113
RANCHO BERNARDO CA
92127-3509
US

IV. Provider business mailing address

3635 VISTA DE LA CANADA
ESCONDIDO CA
92029-7944
US

V. Phone/Fax

Practice location:
  • Phone: 760-781-1776
  • Fax: 760-781-1735
Mailing address:
  • Phone: 760-781-1776
  • Fax: 760-781-1735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number22173
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: