Provider Demographics
NPI:1437524543
Name:SALDANA'S CHIROPRACTIC & WELLNESS CENTER
Entity type:Organization
Organization Name:SALDANA'S CHIROPRACTIC & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ANDRES
Authorized Official - Last Name:SALDANA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-955-4878
Mailing Address - Street 1:14368 ST ANDREWS DR STE A
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-4315
Mailing Address - Country:US
Mailing Address - Phone:760-955-4878
Mailing Address - Fax:760-955-4878
Practice Address - Street 1:14368 ST ANDREWS DR STE A
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-4315
Practice Address - Country:US
Practice Address - Phone:760-955-4878
Practice Address - Fax:760-955-4878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31380111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty