Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 15213 | CA |
NPI | 1033236989 |
---|---|
Provider Name | Dr. Debbie Goldring |
First Address | San Diego, CA 92111-3766 |
Second Address | San Diego, CA 92111-3766 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC15213 | STATE LICENSE NUMBER (01) | CA |