Organization · NPI-2

100 Chiropractic Grant Del Sur INC

Chiropractor · San Diego, CA

NPI number1699568147
StatusActive
Last updated in NPPESMay 27, 2025

Details

NPI
1699568147
Entity type
Organization (NPI-2)
Legal business name
100 Chiropractic Grant Del Sur INC
Organization subpart
No
Enumeration date
May 27, 2025
Certification date
May 27, 2025
Last updated
May 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

16490 Paseo Del Sur Ste 115
San Diego, CA 92127-4203

Phone 858-524-1091

Mailing address

16490 Paseo Del Sur Ste 115
San Diego, CA 92127-4203

Phone 858-524-1091

Authorized official

Jacqueline Grant
Owner
8585241091

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