Provider Demographics
NPI:1417512237
Name:HOOK, SYDNEY PAIGE (DC)
Entity Type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:PAIGE
Last Name:HOOK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 MORAGA AVE STE B214
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-5498
Mailing Address - Country:US
Mailing Address - Phone:619-275-4343
Mailing Address - Fax:
Practice Address - Street 1:3737 MORAGA AVE STE B214
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-5498
Practice Address - Country:US
Practice Address - Phone:619-275-4343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34211111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty