Provider Demographics
NPI:1942522735
Name:BORREGO, CHERYL (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:BORREGO
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 1:2615 CAMINO DEL RIO SOUTH
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108
Mailing Address - Country:US
Mailing Address - Phone:619-922-8490
Mailing Address - Fax:619-584-8101
Practice Address - Street 1:2615 CAMINO DEL RIO S
Practice Address - Street 2:100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3713
Practice Address - Country:US
Practice Address - Phone:619-922-8490
Practice Address - Fax:619-584-8101
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 19719111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor