MEDICARE: DR. JANICE SYLVIA KOWALSKI DC

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	111N00000X	Chiropractor	DC15978	CA
2	225100000X	Physical Therapist	PT8944	CA

General Provider Information

NPI Number	:	1053445643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANICE SYLVIA KOWALSKI DC

Provider Business Mailing Address
First Line	:	11 MAREBLU
Second Line	:	SUITE 230
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-3044
Country	:	US
Telephone Number	:	949-643-5030
Fax Number	:	949-643-5209

Provider Business Practice Location Address
First Line	:	11 MAREBLU
Second Line	:	SUITE 230
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-3044
Country	:	US
Telephone Number	:	949-643-5030
Fax Number	:	949-643-5209

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	03/06/2013

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