Provider Demographics
NPI:1194958082
Name:MAUGERI AND CHINN, A CHIROPRACTIC CORPORATION
Entity type:Organization
Organization Name:MAUGERI AND CHINN, A CHIROPRACTIC CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MAUGERI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-313-2350
Mailing Address - Street 1:23440 CIVIC CENTER WAY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-4854
Mailing Address - Country:US
Mailing Address - Phone:310-456-1972
Mailing Address - Fax:
Practice Address - Street 1:23440 CIVIC CENTER WAY
Practice Address - Street 2:SUITE 204
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-4854
Practice Address - Country:US
Practice Address - Phone:310-456-1972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Multi-Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty