Provider Demographics
NPI:1740008978
Name:MONICA DOLLAND PROPRIOCEPTIVE CHIROPRACTIC SOLUTIONS, CORP
Entity type:Organization
Organization Name:MONICA DOLLAND PROPRIOCEPTIVE CHIROPRACTIC SOLUTIONS, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:CROCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DHSC
Authorized Official - Phone:619-852-4783
Mailing Address - Street 1:1206 FIG CT
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-1645
Mailing Address - Country:US
Mailing Address - Phone:619-852-4783
Mailing Address - Fax:
Practice Address - Street 1:8939 VILLA LA JOLLA DR
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1732
Practice Address - Country:US
Practice Address - Phone:858-223-9942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROPRIOCEPTIVE HEALTH SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service