MEDICARE: CHRISTOPHER V. GARDEN 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
1	111N00000X	Chiropractor	32915	CA

General Provider Information

NPI Number	:	1194723635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER V. GARDEN D.C.

Provider Business Mailing Address
First Line	:	1001 B AVE
Second Line	:	SUITE 308
City	:	CORONADO
State	:	CA
Zip	:	92118-3421
Country	:	US
Telephone Number	:	619-865-1053
Fax Number	:	619-919-0006

Provider Business Practice Location Address
First Line	:	1001 B AVE
Second Line	:	SUITE 308
City	:	CORONADO
State	:	CA
Zip	:	92118-3421
Country	:	US
Telephone Number	:	619-865-1053
Fax Number	:

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	02/02/2017

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