Provider Demographics
NPI:1265053664
Name:PALMES CHIROPRACTIC, APC
Entity type:Organization
Organization Name:PALMES CHIROPRACTIC, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:PASADILLA
Authorized Official - Last Name:PALMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:619-758-5820
Mailing Address - Street 1:9909 MIRA MESA BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1072
Mailing Address - Country:US
Mailing Address - Phone:619-758-5820
Mailing Address - Fax:619-344-0050
Practice Address - Street 1:9909 MIRA MESA BLVD STE 130
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1072
Practice Address - Country:US
Practice Address - Phone:619-758-5820
Practice Address - Fax:619-344-0050
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PALMES CHIROPRACTIC, APC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-27
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty