MEDICARE: DR. MERIS VONJENEF 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	DC16578	CA

General Provider Information

NPI Number	:	1134267370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MERIS VONJENEF DC

Provider Business Mailing Address
First Line	:	2251 SAN DIEGO AVENUE
Second Line	:	SUITE B105
City	:	SAN DIEGO
State	:	CA
Zip	:	92110
Country	:	US
Telephone Number	:	619-295-9525
Fax Number	:

Provider Business Practice Location Address
First Line	:	2251 SAN DIEGO AVE
Second Line	:	STE B105
City	:	SAN DIEGO
State	:	CA
Zip	:	92110
Country	:	US
Telephone Number	:	619-295-9525
Fax Number	:	619-542-0069

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	07/08/2007

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