MEDICARE: BELSKY AND SZAJOWITZ CHIROPRACTIC CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	DC 22586	CA

General Provider Information

NPI Number	:	1013132661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELSKY AND SZAJOWITZ CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	12264 EL CAMINO REAL
Second Line	:	SUITE 108
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-3060
Country	:	US
Telephone Number	:	858-481-0303
Fax Number	:	858-481-9797

Provider Business Practice Location Address
First Line	:	12264 EL CAMINO REAL
Second Line	:	SUITE 108
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-3058
Country	:	US
Telephone Number	:	858-481-0303
Fax Number	:	858-481-9797

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD DARRIN BELSKY
Credential	:	D.C.
Telephone Number	:	858-481-0303

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	08/22/2020

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