Provider Demographics
NPI:1558376251
Name:KOHLER, ANDREW H (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:H
Last Name:KOHLER
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:PO BOX 1176
Mailing Address - Street 2:
Mailing Address - City:CARDIFF
Mailing Address - State:CA
Mailing Address - Zip Code:92007-7176
Mailing Address - Country:US
Mailing Address - Phone:858-509-7999
Mailing Address - Fax:858-509-3993
Practice Address - Street 1:236 F ST
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-2818
Practice Address - Country:US
Practice Address - Phone:619-420-7858
Practice Address - Fax:619-420-4569
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18242111NS0005X
CADC18242111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician