M E Halouzka DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20615 Issued in CA

Legal business name

M E HALOUZKA DC PC

Practice address

12348 Creekview Drive
San Diego, CA 92128

Phone

(858) 391-0434

NPI assigned

Oct 17, 2007

Last updated

Feb 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Elizabeth Halouzka, DCNPI 1740249812

Title

Chiropractor

Phone

(858) 391-0434

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• M E HALOUZKA DC PC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Elizabeth Halouzka, DC

  • Sports Physician Chiropractor
  • San Diego, CA
  • NPI 1740249812
  NPD (past) Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1740479625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12348 CREEKVIEW DRIVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92128",
            "telephone_number": "858-391-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12348 CREEKVIEW DRIVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92128",
            "telephone_number": "858-391-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M E HALOUZKA DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "HALOUZKA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "858-391-0434",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20615",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "20615DC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W17196",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M E HALOUZKA DC PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Lyons, PHD
• Robert Lyons, PH.D.
• Olga Lyssanova
• Mark S Lytle, PSY.D.
• Vera Lyubasyuk
• M E Ramirez MD Inc
• M Langford OD Optometric Corporation
• Jamilah M-Nour
• M. Dalia Strauser, MD
• M. Hertzel Soumekh M D a Professional Corporation

• 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 Feb 21, 2008; 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.