Individual provider · Type 1 NPI

Eric Marcel Custode, DC

Chiropractor · Riverside, CA

NPI number 1215058912 Active

Practice location

4620 Pine St
Riverside, CA 92501-4007

Fax (951) 782-9988

Mailing address

5774 Northview Pl
Riverside, CA 92506-1052

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC29492 (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 1215058912

Eric Marcel Custode, DC's National Provider Identifier is 1215058912, issued on Apr 2, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Riverside, CA. The record was last updated on Jul 8, 2007.