MEDICARE: DR. JOHANNA APPEL 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	17895	CA

General Provider Information

NPI Number	:	1649213059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHANNA APPEL D.C.

Provider Business Mailing Address
First Line	:	3019 POLK AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-2609
Country	:	US
Telephone Number	:	619-280-9020
Fax Number	:	619-280-9070

Provider Business Practice Location Address
First Line	:	3019 POLK AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-2609
Country	:	US
Telephone Number	:	619-280-9020
Fax Number	:	619-280-9070

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	07/27/2010

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