Provider Demographics
NPI:1124038021
Name:KIRCHMANN, LUIGI (DC)
Entity Type:Individual
Prefix:DR
First Name:LUIGI
Middle Name:
Last Name:KIRCHMANN
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 1:1405 W RANCHO VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-3968
Mailing Address - Country:US
Mailing Address - Phone:661-274-8725
Mailing Address - Fax:661-274-8205
Practice Address - Street 1:1405 W RANCHO VISTA BLVD
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-3968
Practice Address - Country:US
Practice Address - Phone:661-274-8725
Practice Address - Fax:661-274-8205
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 26966111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA207RS0012XOtherINTERNAL MEDICINE - SLEEP MEDICINE