Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 29727 | CA |
NPI | 1013077841 |
---|---|
Provider Name | Michael J Meng |
First Address | San Diego, CA 92108-4014 |
Second Address | San Diego, CA 92108-4014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 13/08/2008 |