Provider Demographics
NPI:1669102745
Name:ANACAPA CHIROPRACTIC INC.
Entity type:Organization
Organization Name:ANACAPA CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PACKARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-429-0848
Mailing Address - Street 1:3600 HARBOR BLVD PMB 536
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035
Mailing Address - Country:US
Mailing Address - Phone:805-201-0500
Mailing Address - Fax:
Practice Address - Street 1:3600 HARBOR BLVD # 132
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93035-4136
Practice Address - Country:US
Practice Address - Phone:805-201-0500
Practice Address - Fax:805-351-7218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty