GARCIA & KAMBOURAKIS CHIROPRACTIC, INC


Address: 128 Agate Ave Ste C, Balboa Island, CA 92662-1085
Phone: 9497230702

GARCIA & KAMBOURAKIS CHIROPRACTIC, INC (NPI# 1881991750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881991750
Entity Type Organization
Organization Name GARCIA & KAMBOURAKIS CHIROPRACTIC, INC
Other Organization Name ISLAND CHIROPRACTIC PHYSICAL THERAPY AND MASSAGE
Practice Address 128 Agate Ave Ste C
Balboa Island
CA 92662-1085
Practice Telephone 9497230702
Practice Fax Number 9497230026
Mailing Telephone 9497230702
Mailing Fax Number 9497230026
Enumeration Date 2011-02-11
Last Update Date 2011-03-17
Authorized Official Name DR. DANIEL THOMAS GARCIA (PRESIDENT/CHIROPRACTOR)
Authorized Official Telephone 9497230702
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111N00000X Chiropractor DC-28103 CA Chiropractic Providers
N 225X00000X Occupational Therapist OT-5678 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 111N00000X Chiropractor DC-31351 CA Chiropractic Providers

Other Provider/Organization Names

Other Name Type Code
Island Chiropractic Physical Therapy and Massage Doing Business As Name - Organization

Office Location

Street Address 128 AGATE AVE STE C
City BALBOA ISLAND
State CA
Zip Code 92662-1085

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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

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Competitor

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City BALBOA ISLAND
Zip Code 92662

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Dataset Information

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.

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