Cordova Chiropractic and Wellness Inc
Organization Active NPI Chiropractor · Acton, CA
NPI 1245977073 · NPPES record last updated May 9, 2024
Key facts
- NPI
- 1245977073
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CORDOVA CHIROPRACTIC AND WELLNESS INC
- Practice address
- 33315 Santiago Rd
Acton, CA 93510-1416 - Phone
- (661) 269-2316
- NPI assigned
- May 13, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Arturo Cordova Jr., DC
- Title
- President
- Phone
- (661) 860-1291
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220624000347 | CA | Part B Supplier - Clinic/Group Practice | 6709265549 |
Receives reassigned benefits from 1 practitioner Practice locations: Acton, CA |
National Provider Directory
Locations
33315 Santiago Rd
Acton, CA 93510
Phone (661) 269-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes | ||
| Acupuncturist |
171100000X | |||
| Naturopath |
175F00000X | |||
| Massage Therapist |
225700000X |
Addresses
Primary practice location
33315 Santiago Rd
Acton, CA 93510-1416
Mailing address
33315 Santiago Rd
Acton, CA 93510-1416
Phone (661) 269-2316
Other providers in Acton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.