Provider Demographics
NPI:1285774976
Name:TAMAI CHIROPRACTIC INC
Entity type:Organization
Organization Name:TAMAI CHIROPRACTIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOONTHORNSWAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-435-9390
Mailing Address - Street 1:2530 VISTA WAY STE H
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6174
Mailing Address - Country:US
Mailing Address - Phone:760-435-9390
Mailing Address - Fax:760-435-9393
Practice Address - Street 1:2530 VISTA WAY STE H
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6174
Practice Address - Country:US
Practice Address - Phone:760-435-9390
Practice Address - Fax:760-435-9393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111NR0400X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty