Cordero Chula Vista Sports Chiropractic Apc. Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32557 Issued in CA

Legal business name

CORDERO CHULA VISTA SPORTS CHIROPRACTIC APC. INC.

Practice address

4070 Bonita Rd
Bonita, CA 91902-1325

Phone

(619) 501-3403

NPI assigned

Jun 4, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Cordero, D.C.

Title

Ceo/Owner

Phone

(619) 501-3403

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1275946543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 BONITA RD",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021325",
            "telephone_number": "619-501-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 BONITA RD",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021325",
            "telephone_number": "619-501-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDERO CHULA VISTA SPORTS CHIROPRACTIC APC. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "619-501-3403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lera A Chernov, M.S. CCC-SLP
• Antoinette Evangelista Colcol, PTA
• Edna Turla Concepcion, DDS
• Raivyn Marie Conway, DDS
• Conwaydentalcorp
• Daniel Cordero, D.C., C.S.C.S.
• Alma Maria Cortez
• Pamela Sue Davidson, CNS
• Isaac Jordan Davis, DO
• Steven Gorgas Detsch, D.D.S.

• Chiropractor in Bonita, CA
• Providers in Bonita, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.