Healthcare Provider Details

I. General information

NPI: 1336250224
Provider Name (Legal Business Name): VACA VALLEY CHIROPRACTIC DAVID LAMB DC SEAN MOFFETT DC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 DOBBINS ST STE B
VACAVILLE CA
95688-2700
US

IV. Provider business mailing address

97 DOBBINS ST STE B
VACAVILLE CA
95688-2700
US

V. Phone/Fax

Practice location:
  • Phone: 707-447-9885
  • Fax: 707-447-7372
Mailing address:
  • Phone: 707-447-9885
  • Fax: 707-447-7372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. SEAN DANIEL MOFFETT
Title or Position: D.C.
Credential: D.C.
Phone: 707-447-9885