Individual provider · Type 1 NPI

Glenn K. Tanaka, DC

Chiropractor · San Diego, CA

NPI number 1124148978 Active

Practice location

3707 Convoy St
San Diego, CA 92111-3754

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC13888 (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 1124148978

Glenn K. Tanaka, DC's National Provider Identifier is 1124148978, issued on Mar 29, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.