Tina M. Gottlieb Chiropractic, Apc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24386 Issued in CA

Legal business name

TINA M. GOTTLIEB CHIROPRACTIC, APC

Practice address

27393 Ynez Rd Ste 162
Temecula, CA 92591-4607

Phone

(951) 699-5161

Fax

(951) 699-5175

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Tina M Gottlieb, D.C.NPI 1619091832

Title

President

Phone

(951) 699-5161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina Marie Gottlieb, D.C.

  • Chiropractor
  • Temecula, CA
  • NPI 1619091832
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1952584831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27393 YNEZ RD STE 162",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914607",
            "telephone_number": "951-699-5161",
            "fax_number": "951-699-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27393 YNEZ RD STE 162",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914607",
            "telephone_number": "951-699-5161",
            "fax_number": "951-699-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA M. GOTTLIEB CHIROPRACTIC, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-699-5161",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.