Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC 25501 | CA |
N | 111NN1001X | Nutrition | DC 25501 | CA |
N | 111NR0400X | Rehabilitation Chiropractor | DC 25501 | CA |
NPI | 1184846180 |
---|---|
Provider Name | Dr. Freddie Salabarria |
First Address | Santee, CA 92071 |
Second Address | Santee, CA 92071 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DC25501 | CHIROPRACTOR (01) | CA |