Provider Demographics
NPI:1942521745
Name:FRANKIE D SCOTTCANOVA DC A CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:FRANKIE D SCOTTCANOVA DC A CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKIE
Authorized Official - Middle Name:DOREEN
Authorized Official - Last Name:SCOTT-CANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-492-5500
Mailing Address - Street 1:33080 NIGUEL RD
Mailing Address - Street 2:
Mailing Address - City:MONARCH BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92629-4051
Mailing Address - Country:US
Mailing Address - Phone:949-492-5500
Mailing Address - Fax:949-492-5509
Practice Address - Street 1:33080 NIGUEL RD
Practice Address - Street 2:
Practice Address - City:MONARCH BEACH
Practice Address - State:CA
Practice Address - Zip Code:92629-4051
Practice Address - Country:US
Practice Address - Phone:949-492-5500
Practice Address - Fax:949-492-5509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20538111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1861609836OtherINDIVIDUAL NPI