MEDICARE: POLADIAN CHIROPRACTIC CORPORATION

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	11501	CA

General Provider Information

NPI Number	:	1275729824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POLADIAN CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	488 W SHAW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-2511
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	488 W SHAW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-2511
Country	:	US
Telephone Number	:	559-227-0995
Fax Number	:	559-227-0904

Authorized Official
Title or Position	:	DC/OWNER
Name	:	DR. DONALD A POLADIAN
Credential	:
Telephone Number	:	559-227-0995

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	05/04/2026

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