MEDICARE: ABUNDANT HEALTH CHIROPRACTIC

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	DC15854	CA

General Provider Information

NPI Number	:	1184760944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABUNDANT HEALTH CHIROPRACTIC

Provider Business Mailing Address
First Line	:	3045 ROSECRANS ST
Second Line	:	#300
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4827
Country	:	US
Telephone Number	:	619-226-4999
Fax Number	:	619-226-6444

Provider Business Practice Location Address
First Line	:	3045 ROSECRANS ST
Second Line	:	#300
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4827
Country	:	US
Telephone Number	:	619-226-4999
Fax Number	:	619-226-6444

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID LEE TURNER
Credential	:	DC
Telephone Number	:	619-226-4999

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	06/13/2008

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Directions to “ABUNDANT HEALTH CHIROPRACTIC ” Practice Location

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