Provider Demographics
NPI:1396756391
Name:RAWLINGS, MARK JULIAN (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:JULIAN
Last Name:RAWLINGS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2221 CAMINO DEL RIO SOUTH
Mailing Address - Street 2:STE 309
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108
Mailing Address - Country:US
Mailing Address - Phone:619-295-2225
Mailing Address - Fax:619-295-2251
Practice Address - Street 1:2221 CAMINO DEL RIO SOUTH
Practice Address - Street 2:STE 309
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108
Practice Address - Country:US
Practice Address - Phone:619-295-2225
Practice Address - Fax:619-295-2251
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor