Individual provider · Type 1 NPI
Mamerto Agcaoili Estepa Jr., DC
Chiropractor · San Diego, CA
NPI number
1710258744
Active
Practice location
1452 University Ave
San Diego, CA 92103-3405
Fax (919) 209-3608
Mailing address
1286 University Ave # 545
San Diego, CA 92103-3312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC32131 (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 1710258744
Mamerto Agcaoili Estepa Jr., DC's National Provider Identifier is 1710258744, issued on Jan 23, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 14, 2013.