MEDICARE: U.S. SPINE & SPORT VERNA CHIROPRACTIC, INC.

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

General Provider Information

NPI Number	:	1548253297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	U.S. SPINE & SPORT VERNA CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	PO BOX 305
Second Line	:
City	:	POWAY
State	:	CA
Zip	:	92074-0305
Country	:	US
Telephone Number	:	858-967-5660
Fax Number	:	619-883-0131

Provider Business Practice Location Address
First Line	:	7801 MISSION CENTER CT STE 330
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1316
Country	:	US
Telephone Number	:	858-264-1478
Fax Number	:	619-833-0131

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	JOE L. VERNA
Credential	:	DC
Telephone Number	:	858-967-5660

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	08/20/2025

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