1548253297 NPI number — U.S. SPINE & SPORT VERNA CHIROPRACTIC, INC.

Table of content: (NPI 1548253297)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548253297 NPI number — U.S. SPINE & SPORT VERNA CHIROPRACTIC, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
U.S. SPINE & SPORT VERNA CHIROPRACTIC, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548253297
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 305
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POWAY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92074-0305
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-967-5660
Provider Business Mailing Address Fax Number:
619-883-0131

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7801 MISSION CENTER CT STE 330
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92108-1316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-264-1478
Provider Business Practice Location Address Fax Number:
619-833-0131
Provider Enumeration Date:
08/29/2005

Additional Information

Authorized Official

Authorized Official Last Name:
VERNA
Authorized Official First Name:
JOE
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
858-967-5660

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com