Individual provider · Type 1 NPI
Derry Sontag, DC
Chiropractor · Moss Beach, CA
NPI number
1508037631
Active
Practice location
2305 Carlos St, B
Moss Beach, CA 94038-9666
Fax (650) 728-5459
Mailing address
15550 Rockfield Blvd, B220
Irvine, CA 92618-2720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC29103 (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.
About NPI 1508037631
Derry Sontag, DC's National Provider Identifier is 1508037631, issued on Mar 17, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Moss Beach, CA. The record was last updated on Mar 17, 2008.