Provider Demographics
NPI:1063501583
Name:CALI, JOHN PETER (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PETER
Last Name:CALI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2780 YORKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-4417
Mailing Address - Country:US
Mailing Address - Phone:626-260-2570
Mailing Address - Fax:626-440-0202
Practice Address - Street 1:39 MILLS PL
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1909
Practice Address - Country:US
Practice Address - Phone:626-440-1222
Practice Address - Fax:626-440-0202
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0243060OtherBLUE SHIELD PROVIDER