Provider Demographics
NPI:1841359346
Name:SOUTH WEST HEALTH CHIROPRACTIC CENTER INC
Entity type:Organization
Organization Name:SOUTH WEST HEALTH CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZAPPALA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-631-5226
Mailing Address - Street 1:2664 NEWPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-4641
Mailing Address - Country:US
Mailing Address - Phone:949-631-5226
Mailing Address - Fax:949-631-8538
Practice Address - Street 1:2664 NEWPORT BLVD
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-4641
Practice Address - Country:US
Practice Address - Phone:949-631-5226
Practice Address - Fax:949-631-8538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW13269Medicare PIN