Provider Demographics
NPI:1083954374
Name:SAYEGH, JIMMY RIMON (DC)
Entity Type:Individual
Prefix:DR
First Name:JIMMY
Middle Name:RIMON
Last Name:SAYEGH
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 1:10165 FOOTHILL BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0340
Mailing Address - Country:US
Mailing Address - Phone:909-989-6980
Mailing Address - Fax:909-927-8262
Practice Address - Street 1:10165 FOOTHILL BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0340
Practice Address - Country:US
Practice Address - Phone:909-989-6980
Practice Address - Fax:909-927-8262
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-22
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32515111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor