Provider Demographics
NPI:1801976329
Name:MOONEY & SHAMSBOD CHIROPRACTIC
Entity type:Organization
Organization Name:MOONEY & SHAMSBOD CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MOONEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-274-8725
Mailing Address - Street 1:2501 EAST PALMDALE BLVD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-1346
Mailing Address - Country:US
Mailing Address - Phone:661-274-8725
Mailing Address - Fax:661-274-8205
Practice Address - Street 1:2501 EAST PALMDALE BLVD.
Practice Address - Street 2:SUITE A
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-1346
Practice Address - Country:US
Practice Address - Phone:661-274-8725
Practice Address - Fax:661-274-8205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty