MEDICARE: SPIESS CHIROPRACTIC INCORPORATED

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	DC27866	CA

General Provider Information

NPI Number	:	1407886211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPIESS CHIROPRACTIC INCORPORATED

Provider Business Mailing Address
First Line	:	5855 E NAPLES PLAZA
Second Line	:	STE 217
City	:	LONG BEACH
State	:	CA
Zip	:	90803
Country	:	US
Telephone Number	:	562-987-4848
Fax Number	:	562-987-4001

Provider Business Practice Location Address
First Line	:	5855 E NAPLES PLAZA
Second Line	:	STE 217
City	:	LONG BEACH
State	:	CA
Zip	:	90803
Country	:	US
Telephone Number	:	562-987-4848
Fax Number	:	562-987-4001

Authorized Official
Title or Position	:	DIRECTOR
Name	:	GREGORY JOSEPH SPIESS
Credential	:	DC
Telephone Number	:	562-987-4848

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	08/22/2020

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