Sandra K Beddor, D.C.
Individual provider Active NPI Chiropractor · San Diego, CA
NPI 1093971913 · NPPES record last updated Jul 30, 2008
Key facts
- NPI
- 1093971913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 26342 (CA)
- Practice address
- 16980 Via Tazon
Suite #190
San Diego, CA 92127-1633 - Phone
- (858) 518-1894
- NPI assigned
- Jul 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 26342 | CA | Yes |
Addresses
Primary practice location
16980 Via Tazon
Suite #190
San Diego, CA 92127-1633
Mailing address
16980 Via Tazon
Suite #190
San Diego, CA 92127-1633
Phone (858) 518-1894
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.