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NPI Code Detail

MEDICARE: DR. DOUGLAS ROBERT ROCHE D.C.

MEDICARE: DR. DOUGLAS ROBERT ROCHE 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
1111N00000XChiropractor22140CA

General Provider Information

NPI Number : 1891842068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS ROBERT ROCHE D.C.
Provider Business Mailing Address
First Line : 12285 SCRIPPS POWAY PKWY STE 103
Second Line :
City : POWAY
State : CA
Zip : 92064-6149
Country : US
Telephone Number : 858-578-0058
Fax Number : 858-578-8254
Provider Business Practice Location Address
First Line : 1545 BROADWAY # 1A
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-2539
Country : US
Telephone Number : 415-563-3800
Fax Number : 415-292-7911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 08/08/2019

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