Provider Demographics
NPI:1689741225
Name:SZPIECH, IWONA (DC)
Entity Type:Individual
Prefix:
First Name:IWONA
Middle Name:
Last Name:SZPIECH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15550 ROCKFIELD BLVD STE B220
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-6703
Mailing Address - Country:US
Mailing Address - Phone:949-598-9999
Mailing Address - Fax:949-598-9990
Practice Address - Street 1:7220 AVENIDA ENCINAS
Practice Address - Street 2:100
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-4690
Practice Address - Country:US
Practice Address - Phone:760-889-6096
Practice Address - Fax:760-692-0251
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC27871OtherLICENSE NUMBER
CADC27871Medicare ID - Type Unspecified
CADC27871OtherLICENSE NUMBER