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NPI Code Detail

MEDICARE: DAVID SHORES D.C.

MEDICARE: DAVID SHORES D.C.
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
1111N00000XChiropractor23984CA

General Provider Information

NPI Number : 1164522991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SHORES D.C.
Provider Business Mailing Address
First Line : 120 BIRMINGHAM DR
Second Line : SUITE 100
City : CARDIFF
State : CA
Zip : 92007-1757
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 BIRMINGHAM DR
Second Line : SUITE 100
City : CARDIFF
State : CA
Zip : 92007-1757
Country : US
Telephone Number : 760-944-0563
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/08/2007

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Directions to “ DAVID SHORES D.C.” Practice Location

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