Elissa Munoz, DC
Individual provider Active NPI Chiropractor · Apply Valley, CA
NPI 1598564650 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1598564650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC37175 (CA)
- Practice address
- 18522 Outer Hwy 18 N
Ste 104
Apply Valley, CA 92307 - Phone
- (760) 245-8182
- Fax
- (760) 245-2123
- NPI assigned
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250520000453 | CA | Practitioner - Chiropractic | 5597283994 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC37175 | CA | MD | Chiropractor |
| 37175 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HD Physical Medicine, a Professional Medical Corporation | Chiropractor | Current |
Accepting new patients |
Locations
17330 Bear Valley Rd
Ste 105
Victorville, CA 92395
Phone (760) 245-5182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC37175 | CA | Yes |
Addresses
Primary practice location
18522 Outer Hwy 18 N
Ste 104
Apply Valley, CA 92307
Mailing address
17330 Bear Valley Rd
Ste 105
Victorville, CA 92395
Phone (760) 245-8182
Other providers in Apply Valley, CA
All providers in Apply Valley, 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 Mar 11, 2025. 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.