Positive Edge Chiropractic
Chiropractor in San Diego, CA. Organization (NPI-2).
NPI number1730453085
StatusActive
Last updated in NPPESMar 5, 2012
Details
- NPI
- 1730453085
- Entity type
- Organization (NPI-2)
- Legal business name
- Positive Edge Chiropractic
- Organization subpart
- No
- Enumeration date
- Mar 5, 2012
- Last updated
- Mar 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 32183 | CA | Yes |
| 111N00000X | Chiropractor | 32118 | CA |
Practice location
9988 Hibert St Ste 205San Diego, CA 92131-2480
Phone 858-635-9355 · Fax 858-635-9104
Mailing address
9988 Hibert St Ste 205San Diego, CA 92131-2480
Phone 858-635-9355 · Fax 858-635-9104
Authorized official
Niccole Marie Odell
Owner/Chiropractor
8586359355
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