Provider Demographics
NPI:1063500890
Name:BERINSON CHIROPRACTIC INC
Entity Type:Organization
Organization Name:BERINSON CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:L
Authorized Official - Last Name:BERINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-924-5770
Mailing Address - Street 1:24578 SUNNYMEAD BLVD
Mailing Address - Street 2:SUITE C & D
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553
Mailing Address - Country:US
Mailing Address - Phone:951-924-5770
Mailing Address - Fax:951-485-8523
Practice Address - Street 1:24578 SUNNYMEAD BLVD
Practice Address - Street 2:SUITE C & D
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553
Practice Address - Country:US
Practice Address - Phone:951-924-5770
Practice Address - Fax:951-485-8523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty