Provider Demographics
NPI:1922140581
Name:SOLOWAY, DAVID S (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:SOLOWAY
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 1:3188 AIRWAY AVE STE H
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4652
Mailing Address - Country:US
Mailing Address - Phone:714-432-7777
Mailing Address - Fax:714-432-0842
Practice Address - Street 1:3188 AIRWAY AVE STE H
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4652
Practice Address - Country:US
Practice Address - Phone:714-432-7777
Practice Address - Fax:714-432-0842
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 25298111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW19683Medicare ID - Type Unspecified