Provider Demographics
NPI:1013432525
Name:SONYA HEALTH & CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:SONYA HEALTH & CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:AGAEZI
Authorized Official - Middle Name:
Authorized Official - Last Name:SONYA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:951-387-4629
Mailing Address - Street 1:23811 WASHINGTON AVE STE C110-259
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-2275
Mailing Address - Country:US
Mailing Address - Phone:951-387-4629
Mailing Address - Fax:951-387-4659
Practice Address - Street 1:25499 MARVIN GARDENS WAY
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-5420
Practice Address - Country:US
Practice Address - Phone:951-412-7838
Practice Address - Fax:951-387-4659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-04
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29166111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty