Provider Demographics
NPI:1982096970
Name:URTEAGA CHIROPRACTIC INC.
Entity type:Organization
Organization Name:URTEAGA CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXERCISE PHYSIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:URTEAGA
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS, RCEP, CSCS
Authorized Official - Phone:562-789-1999
Mailing Address - Street 1:7354 PAINTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1853
Mailing Address - Country:US
Mailing Address - Phone:562-789-1999
Mailing Address - Fax:562-789-1995
Practice Address - Street 1:7354 PAINTER AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1853
Practice Address - Country:US
Practice Address - Phone:562-789-1999
Practice Address - Fax:562-789-1995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1039149224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise PhysiologistGroup - Multi-Specialty