Myk Duane Bray, D.C.
Individual provider Active NPI Chiropractor · Solana Beach, CA
NPI 1235348384 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235348384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC29931 (CA)
- Practice address
- 125 N Acacia Ave
103
Solana Beach, CA 92075-1165 - Phone
- (858) 794-0300
- NPI assigned
- May 22, 2007
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29931 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29931 | CA | Yes |
Addresses
Primary practice location
125 N Acacia Ave
103
Solana Beach, CA 92075-1165
Mailing address
PO Box 1234
Solana Beach, CA 92075-7234
Phone (619) 540-4255
Other providers in Solana Beach, CA
- Bourgouin Chiropractic Inc.
- John Boyce Jr.
- Joshua Brian Boydston
- John Joseph Boyle
- Christina Robyn Bradshaw
- Breast Feeding Fixers
- Kelly Brett
- Peter Robert Brody
- Chan Brown
- Jeffrey Paul Brown
All providers in Solana Beach, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.