Provider Demographics
NPI:1942398599
Name:FOLI, MICHAEL JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:FOLI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:MRS
Other - First Name:DEBI
Other - Middle Name:LYNN
Other - Last Name:FOLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:210 S VINE ST
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-2926
Mailing Address - Country:US
Mailing Address - Phone:760-728-6170
Mailing Address - Fax:760-723-6936
Practice Address - Street 1:125 W FIG ST
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-2846
Practice Address - Country:US
Practice Address - Phone:760-728-6170
Practice Address - Fax:760-723-6936
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17135DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor