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General NPI Number Information
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NPI Number | 1174858559
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Entity Type | Organization
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Legal Business Name | MISSION CARE CHIROPRACTIC
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Dates
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Enumeration Date | 10/02/2009
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 3838 JACKSON ST SUITE B
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City | RIVERSIDE
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State | CA
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Zip | 92503-3917
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Country | US
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Telephone | 951-637-2700
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Fax | 951-637-2770
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Provider Business Mailing Address
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Address Line | 3838 JACKSON ST SUITE B
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City | RIVERSIDE
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State | CA
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Zip | 92503-3917
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Country | US
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Telephone | 951-637-2700
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Fax | 951-637-2770
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Authorized Official
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Title or Position | PARTNER
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Name | HAMID ROWSHAN
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Credential | D.C.
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Telephone | 714-936-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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