Provider Demographics
NPI:1235123944
Name:LOCHRIDGE, STEVEN L (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:LOCHRIDGE
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 1:1878 W EL NORTE PKWY
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-3343
Mailing Address - Country:US
Mailing Address - Phone:760-741-7110
Mailing Address - Fax:760-741-7088
Practice Address - Street 1:1878 W EL NORTE PKWY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-3343
Practice Address - Country:US
Practice Address - Phone:760-741-7110
Practice Address - Fax:760-741-7088
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16197111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC16197Medicare PIN