MEDICARE: SCARTPHIL, INC.

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	29585	CA

General Provider Information

NPI Number	:	1184910721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCARTPHIL, INC.

Provider Business Mailing Address
First Line	:	16959 BERNARDO CENTER DR
Second Line	:	SUITE 215
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2553
Country	:	US
Telephone Number	:	858-676-1218
Fax Number	:	858-676-5316

Provider Business Practice Location Address
First Line	:	16959 BERNARDO CENTER DR
Second Line	:	SUITE 215
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2553
Country	:	US
Telephone Number	:	858-676-1218
Fax Number	:	858-676-5316

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES PIETREK
Credential	:	D.C.
Telephone Number	:	858-676-1218

Provider Enumeration Date	:	06/22/2011
Last Update Date	:	07/14/2011

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Directions to “SCARTPHIL, INC. ” Practice Location

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