MEDICARE: DR. PAMELA COLLEEN RIGGS 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	34735	CA

General Provider Information

NPI Number	:	1144851130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA COLLEEN RIGGS DC

Provider Business Mailing Address
First Line	:	PO BOX 513
Second Line	:
City	:	SLOUGHHOUSE
State	:	CA
Zip	:	95683-0513
Country	:	US
Telephone Number	:	916-312-5030
Fax Number	:	916-312-5033

Provider Business Practice Location Address
First Line	:	7277 LONE PINE DR # C101
Second Line	:
City	:	RANCHO MURIETA
State	:	CA
Zip	:	95683-9715
Country	:	US
Telephone Number	:	916-312-5030
Fax Number	:	916-312-5033

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

Provider Enumeration Date	:	01/29/2020
Last Update Date	:	01/30/2020

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