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NPI Code Detail

MEDICARE: BALOYRA CHIROPRACTIC CORP

MEDICARE: BALOYRA CHIROPRACTIC CORP
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
1111N00000XChiropractorDC27008CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC27008OTHERCACHIROPRACTIC LICENSE
2DK295AOTHERCAINDIVIDUAL PTAN
3ZZZ66754YOTHERCABLUE SHIELD PIN

General Provider Information

NPI Number : 1982973194
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALOYRA CHIROPRACTIC CORP
Provider Business Mailing Address
First Line : 15550 ROCKFIELD BLVD
Second Line : B220
City : IRVINE
State : CA
Zip : 92618-2720
Country : US
Telephone Number : 949-598-9999
Fax Number : 949-598-9990
Provider Business Practice Location Address
First Line : 1511 TREAT BLVD
Second Line : 100
City : WALNUT CREEK
State : CA
Zip : 94598-1094
Country : US
Telephone Number : 925-949-8911
Fax Number : 925-949-8322
Authorized Official
Title or Position : PROVIDER / OWNER
Name : GEORGE E BALOYRA
Credential : D.C.
Telephone Number : 925-949-8911
Provider Enumeration Date : 12/16/2011
Last Update Date : 12/16/2011

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Directions to “BALOYRA CHIROPRACTIC CORP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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