Provider Demographics
NPI:1932878659
Name:CALIFORNIA SIBTF EVALUATIONS, INC.
Entity type:Organization
Organization Name:CALIFORNIA SIBTF EVALUATIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-947-4325
Mailing Address - Street 1:836 SOUTHAMPTON ROAD
Mailing Address - Street 2:STE B #314
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510
Mailing Address - Country:US
Mailing Address - Phone:916-947-4325
Mailing Address - Fax:916-784-0454
Practice Address - Street 1:4180 TREAT BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-1848
Practice Address - Country:US
Practice Address - Phone:916-947-4325
Practice Address - Fax:916-784-0454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty