DR. CHANNY GARDEAZABAL (NPI# 1629488895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629488895 |
| Entity Type | Individual |
| Full Name | DR. CHANNY GARDEAZABAL |
| Credential | DC |
| Practice Address |
827 River Rd Unit 228 Corona CA 92880-1472 |
| Practice Telephone | 7143184928 |
| Mailing Telephone | 7143184928 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 32687 | CA | Chiropractic Providers |
| Street Address |
827 RIVER RD UNIT 228 |
| City | CORONA |
| State | CA |
| Zip Code | 92880-1472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| Find all providers in zip 92880 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669935847 | Jorge Mena | Chiropractor | 9632 Corona Ave, Corona, NY 11368-2733 | 2019-04-13 |
| 1023533437 | Synergy Physical Therapy & Chiropractic Pllc | Chiropractor | 4304 Junction Blvd Ste B, Corona, NY 11368-2116 | 2017-08-07 |
| 1043758014 | Inner Qi Wellness Inc | Chiropractor | 1175 W Grand Blvd Ste 100, Corona, CA 92882-4393 | 2017-02-09 |
| 1962879882 | Dr. Amanda Peterson Chiropractic, PC | Chiropractor | 1820 Fullerton Ave Ste 250, Corona, CA 92881-7001 | 2015-08-26 |
| 1609251495 | Michael Andrew Torrez | Chiropractor | 2205 Vesper Cir Ste 101, Corona, CA 92879-3501 | 2015-07-22 |
| 1952731556 | Randi Lynn Ruela | Chiropractor | 1820 Fullerton Ave Ste 270, Corona, CA 92881-3175 | 2013-11-18 |
| 1477899763 | Corona Health Clinic, LLC | Chiropractor | 1450 W 6th St Ste 201, Corona, CA 92882-6516 | 2012-12-14 |
| 1659625036 | Chad David Noel Jr. | Chiropractor | 2250 S Main St Ste 203, Corona, CA 92882-2506 | 2012-11-06 |
| 1972874204 | Mst Consulting, LLC. | Chiropractor | 490 Princeland Ct, Unit 6, Corona, CA 92879-1351 | 2012-01-18 |
| 1114252152 | Cline Chiropractic Care | Chiropractor | 1021 S Main St, Corona, CA 92882-4446 | 2009-10-08 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.