Provider Demographics
NPI:1437785540
Name:JOO CHIROPRACTIC INC
Entity Type:Organization
Organization Name:JOO CHIROPRACTIC INC
Other - Org Name:RAPHA CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:JOO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:858-292-0256
Mailing Address - Street 1:4655 RUFFNER ST STE 120
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2226
Mailing Address - Country:US
Mailing Address - Phone:858-292-0256
Mailing Address - Fax:858-292-0459
Practice Address - Street 1:4655 RUFFNER ST STE 120
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2226
Practice Address - Country:US
Practice Address - Phone:858-292-0256
Practice Address - Fax:858-292-0459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center