Individual provider · Type 1 NPI
Richard Charles Theobald, DC
Chiropractor · San Diego, CA
NPI number
1033318050
Active
Practice location
5850 Oberlin Drive, Suite 100
San Diego, CA 92121
Fax (858) 453-0370
Mailing address
5850 Oberlin Dr, Suite 100
San Diego, CA 92121-4719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC20006 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1033318050
Richard Charles Theobald, DC's National Provider Identifier is 1033318050, issued on Jul 11, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Diego, CA. The record was last updated on Dec 11, 2008.