Provider Demographics
NPI:1225575111
Name:JOHN F. DALCIN CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:JOHN F. DALCIN CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:DALCIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-567-0335
Mailing Address - Street 1:2005 W ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2932
Mailing Address - Country:US
Mailing Address - Phone:818-726-7252
Mailing Address - Fax:
Practice Address - Street 1:2005 W ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2932
Practice Address - Country:US
Practice Address - Phone:818-726-7252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16326111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1548304728OtherNPI
CAT18305Medicare UPIN
CADC16326Medicare PIN