Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 31947 | CA |
N | 111NN1001X | Nutrition | 31947 | CA |
N | 111NP0017X | Pediatric Chiropractor | 31947 | CA |
NPI | 1093072092 |
---|---|
Provider Name | Dr. Catherine Sy Luib |
First Address | San Diego, CA 92131-1084 |
Second Address | San Diego, CA 92131-1084 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2012 |
Last Update Date | 11/06/2019 |