Provider Demographics
NPI:1275558769
Name:ORSZAG CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:ORSZAG CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ORSZAG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-544-6325
Mailing Address - Street 1:891 PISMO ST
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-4017
Mailing Address - Country:US
Mailing Address - Phone:805-544-6325
Mailing Address - Fax:805-544-6365
Practice Address - Street 1:891 PISMO ST
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-4017
Practice Address - Country:US
Practice Address - Phone:805-544-6325
Practice Address - Fax:805-544-6365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21077111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAY07467Medicare UPIN
CAW17197Medicare ID - Type UnspecifiedGROUP ID