Provider Demographics
NPI:1346230059
Name:MEYERS, RAYCE (DC, FASBE)
Entity Type:Individual
Prefix:DR
First Name:RAYCE
Middle Name:
Last Name:MEYERS
Suffix:
Gender:M
Credentials:DC, FASBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41011 CALIFORNIA OAKS RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5751
Mailing Address - Country:US
Mailing Address - Phone:951-805-7778
Mailing Address - Fax:877-768-6515
Practice Address - Street 1:41011 CALIFORNIA OAKS RD
Practice Address - Street 2:SUITE 202
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5751
Practice Address - Country:US
Practice Address - Phone:951-805-7778
Practice Address - Fax:877-768-6515
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC14155111N00000X
MI004511111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0141550Medicare ID - Type Unspecified