=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407005440
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZEMELLA CHIROPRACTIC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/15/2008
-----------------------------------------------------
Last Update Date | 09/15/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3022 STATE ST SUITE B
-----------------------------------------------------
City | SANTA BARBARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93105-3353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-687-6629
-----------------------------------------------------
Fax | 805-687-0675
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3022 STATE ST SUITE B
-----------------------------------------------------
City | SANTA BARBARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93105-3353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-687-6629
-----------------------------------------------------
Fax | 805-687-0675
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. PAUL M ZEMELLA
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 805-687-6629
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 10441
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------