Provider Demographics
NPI:1295709160
Name:CAGASAN, KURT FRANCIS (DC)
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:FRANCIS
Last Name:CAGASAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-6805
Mailing Address - Country:US
Mailing Address - Phone:619-321-0093
Mailing Address - Fax:619-321-0094
Practice Address - Street 1:302 ISLAND AVE
Practice Address - Street 2:STE 103
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101
Practice Address - Country:US
Practice Address - Phone:619-321-0093
Practice Address - Fax:619-321-0094
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27316111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor