Provider Demographics
NPI:1538688825
Name:DOSS, RICHARD MARVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:MARVIN
Last Name:DOSS
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 1:13029 POMERADO RD STE A
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4246
Mailing Address - Country:US
Mailing Address - Phone:858-486-1222
Mailing Address - Fax:858-513-2088
Practice Address - Street 1:13029 POMERADO RD STE A
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4246
Practice Address - Country:US
Practice Address - Phone:858-486-1222
Practice Address - Fax:858-513-2088
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor