Healthcare Provider Details

I. General information

NPI: 1487024824
Provider Name (Legal Business Name): DR RKIONE BRITTON CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2015
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8885 RIO SAN DIEGO DR SUITE 357B
SAN DIEGO CA
92108-1624
US

IV. Provider business mailing address

8885 RIO SAN DIEGO DR SUITE 357B
SAN DIEGO CA
92108-1624
US

V. Phone/Fax

Practice location:
  • Phone: 310-903-0154
  • Fax:
Mailing address:
  • Phone: 310-903-0154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number32158
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number32158
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number32158
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number32158
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number32158
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number32158
License Number StateCA

VIII. Authorized Official

Name: DR. R'KIONE W'SELAS BRITTON
Title or Position: OWNER/PRESIDENT
Credential: D.C.
Phone: 310-903-0154