MEDICARE: DR. VICTOR J. TOMASSETTI 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	14514	CA

General Provider Information

NPI Number	:	1447344007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR J. TOMASSETTI D.C.

Provider Business Mailing Address
First Line	:	2741 VISTA WAY
Second Line	:	SUITE 111
City	:	OCEANSIDE
State	:	CA
Zip	:	92054
Country	:	US
Telephone Number	:	760-757-0222
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 S EL CAMINO REAL
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6306
Country	:	US
Telephone Number	:	760-757-0222
Fax Number	:	760-757-0224

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	03/17/2018

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