Provider Demographics
NPI:1184760944
Name:ABUNDANT HEALTH CHIROPRACTIC
Entity type:Organization
Organization Name:ABUNDANT HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:619-226-4999
Mailing Address - Street 1:3045 ROSECRANS ST
Mailing Address - Street 2:#300
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-4827
Mailing Address - Country:US
Mailing Address - Phone:619-226-4999
Mailing Address - Fax:619-226-6444
Practice Address - Street 1:3045 ROSECRANS ST
Practice Address - Street 2:#300
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-4827
Practice Address - Country:US
Practice Address - Phone:619-226-4999
Practice Address - Fax:619-226-6444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC15854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty