Provider Demographics
NPI:1861574394
Name:REICH, DOUGLAS LLOYD (DC)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:LLOYD
Last Name:REICH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 VIA VERA CRUZ STE 120
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-2647
Mailing Address - Country:US
Mailing Address - Phone:760-736-0286
Mailing Address - Fax:760-736-3113
Practice Address - Street 1:338 VIA VERA CRUZ STE 120
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-2647
Practice Address - Country:US
Practice Address - Phone:760-736-0286
Practice Address - Fax:760-736-3113
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor