MEDICARE: A PINA CHIROPRACTIC CORP

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	111NR0400X	Rehabilitation Chiropractor	DC29192	CA
2	111NR0400X	Rehabilitation Chiropractor	DC29273	CA

General Provider Information

NPI Number	:	1255730214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PINA CHIROPRACTIC CORP

Provider Business Mailing Address
First Line	:	20112 ANZA AVE
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90503-2009
Country	:	US
Telephone Number	:	310-792-5490
Fax Number	:	310-792-5495

Provider Business Practice Location Address
First Line	:	20112 ANZA AVE
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90503-2009
Country	:	US
Telephone Number	:	310-792-5490
Fax Number	:	310-792-5495

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RODRIGO PINA
Credential	:	D.C.
Telephone Number	:	310-792-5490

Provider Enumeration Date	:	08/15/2014
Last Update Date	:	08/29/2014

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Directions to “A PINA CHIROPRACTIC CORP ” Practice Location

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