Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC11499 | CA |
NPI | 1003832478 |
---|---|
Provider Name | Dr. David Henry Pobran |
First Address | San Marcos, CA 92078-2502 |
Second Address | San Marcos, CA 92078-2502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 08/07/2007 |