Individual provider · Type 1 NPI
Dirk H. Kancilia, DC
Chiropractor · San Diego, CA
NPI number
1477797579
Active
Practice location
16980 Via Tazon, 160
San Diego, CA 92127-1633
Fax (858) 679-8411
Mailing address
33175 Temecula Pkwy, A125
Temecula, CA 92592-7300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC16440 (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 1477797579
Dirk H. Kancilia, DC's National Provider Identifier is 1477797579, issued on Apr 21, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 1, 2010.