Provider Demographics
NPI:1487304341
Name:PASCUA CHIROPRACTIC, INC. A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:PASCUA CHIROPRACTIC, INC. A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCUA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:951-684-2350
Mailing Address - Street 1:4260 CENTRAL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2937
Mailing Address - Country:US
Mailing Address - Phone:951-684-2350
Mailing Address - Fax:951-684-5350
Practice Address - Street 1:4260 CENTRAL AVE STE A
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2937
Practice Address - Country:US
Practice Address - Phone:951-684-2350
Practice Address - Fax:951-684-5350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty