Provider Demographics
NPI:1477648046
Name:TRU-HEALTH ENTERPRISES, INC.
Entity Type:Organization
Organization Name:TRU-HEALTH ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:E
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-724-8104
Mailing Address - Street 1:P.O.BOX 338
Mailing Address - Street 2:
Mailing Address - City:BONSALL
Mailing Address - State:CA
Mailing Address - Zip Code:92003-0338
Mailing Address - Country:US
Mailing Address - Phone:760-724-8104
Mailing Address - Fax:
Practice Address - Street 1:5523 MISSION RD
Practice Address - Street 2:STE C
Practice Address - City:BONSALL
Practice Address - State:CA
Practice Address - Zip Code:92003
Practice Address - Country:US
Practice Address - Phone:760-724-8104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty