Individual provider · Type 1 NPI
Vincent Joseph Surace Sr., DC
Chiropractor · San Pedro, CA
NPI number
1083797013
Active
Practice location
928 N Western Ave
San Pedro, CA 90732-2427
Fax (714) 547-5694
Mailing address
28134 S Western Ave # 196
San Pedro, CA 90732-1248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 01-10283 (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 1083797013
Vincent Joseph Surace Sr., DC's National Provider Identifier is 1083797013, issued on Oct 23, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Pedro, CA. The record was last updated on Dec 2, 2016.