Dr Drennan'S Advanced Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33692 Issued in CA

Legal business name

DR DRENNAN'S ADVANCED WELLNESS

Practice address

5005 Texas St Ste 101
San Diego, CA 92108-3722

Phone

(619) 518-4222

Fax

(619) 255-3165

NPI assigned

Nov 28, 2016

Organization subpart

No

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

Authorized official

Name

Lacie Lynn Drennan, D.C.

Title

Chiropractor

Phone

(619) 518-4222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1467995225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 TEXAS ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083722",
            "telephone_number": "619-518-4222",
            "fax_number": "619-255-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 TEXAS ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083722",
            "telephone_number": "619-518-4222",
            "fax_number": "619-255-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DRENNAN'S ADVANCED WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "DRENNAN",
        "authorized_official_first_name": "LACIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "619-518-4222",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.