Provider Demographics
NPI:1427185354
Name:ONANDIA, MICHAEL ARCEO (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ARCEO
Last Name:ONANDIA
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 1:624 E GRAND BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-2226
Mailing Address - Country:US
Mailing Address - Phone:951-735-5424
Mailing Address - Fax:951-493-1098
Practice Address - Street 1:624 E GRAND BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-2226
Practice Address - Country:US
Practice Address - Phone:951-735-5424
Practice Address - Fax:951-493-1098
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28832111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC2883200Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER