Provider Demographics
NPI:1184831067
Name:SANTORO CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:SANTORO CHIROPRACTIC CORPORATION
Other - Org Name:POMERADO CHIROPRACTIC GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:SANTORO
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:858-748-8000
Mailing Address - Street 1:12650 SABRE SPRINGS PKWY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4114
Mailing Address - Country:US
Mailing Address - Phone:858-748-8000
Mailing Address - Fax:858-748-2000
Practice Address - Street 1:12650 SABRE SPRINGS PKWY
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-4114
Practice Address - Country:US
Practice Address - Phone:858-748-8000
Practice Address - Fax:858-748-2000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty