Provider Demographics
NPI:1043493349
Name:SOMMER SPORTS CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:SOMMER SPORTS CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-582-0007
Mailing Address - Street 1:2345 ERRINGER RD STE 210
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2250
Mailing Address - Country:US
Mailing Address - Phone:805-582-0007
Mailing Address - Fax:805-528-0003
Practice Address - Street 1:2345 ERRINGER RD STE 210
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2250
Practice Address - Country:US
Practice Address - Phone:805-582-0007
Practice Address - Fax:805-528-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24620111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty