MEDICARE: APEX CHIROPRACTIC & SCI WELLNESS CENTER

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	DC20952	CA

General Provider Information

NPI Number	:	1851631121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX CHIROPRACTIC & SCI WELLNESS CENTER

Provider Business Mailing Address
First Line	:	33159 CAMINO CAPISTRANO
Second Line	:	SUITE D
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675-4827
Country	:	US
Telephone Number	:	949-488-0016
Fax Number	:	949-488-0507

Provider Business Practice Location Address
First Line	:	33159 CAMINO CAPISTRANO
Second Line	:	SUITE D
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675-4827
Country	:	US
Telephone Number	:	949-488-0016
Fax Number	:	949-488-0507

Authorized Official
Title or Position	:	OWNER/MANAGING PARTNER
Name	:	DR. BORIS ENRIQUE DEL CID
Credential	:	D.C.
Telephone Number	:	949-488-0016

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	02/25/2013

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