Individual provider · Type 1 NPI
Nicholas G. Desantis, DC
Chiropractor · La Mesa, CA
NPI number
1174861025
Active
Practice location
7760 University Ave
La Mesa, CA 91942-4902
Fax (619) 466-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC19022 (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 1174861025
Nicholas G. Desantis, DC's National Provider Identifier is 1174861025, issued on Jan 28, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in La Mesa, CA. The record was last updated on Jan 28, 2013.