Gregory Steven Tardaguila in Redondo Beach - Chiropractor
Gregory Steven Tardaguila - NPI 1629162631
Gregory Steven Tardaguila is a Chiropractor in Redondo Beach, California. Gregory Steven Tardaguila practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gregory Steven Tardaguila is 1629162631. The last update date is 2007-07-08.
Gregory Steven Tardaguila's current location address is 220 N. Irena Ave., Redondo Beach, California. You can contact this provider via phone number 3109617515. The mailing address for Gregory Steven Tardaguila is 220 N. Irena Ave., Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Steven Tardaguila |
|---|---|
| Address | 220 N. Irena Ave., Redondo Beach, California |
| Phone Number | 3109617515 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1629162631 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 220 N. Irena Ave. |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 90277 |
| Phone Number | 3109617515 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC19629 |
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Definition: 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 inte |
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What is the unique identifier code issued to Gregory Steven Tardaguila by the Centers for Medicare & Medicaid Services?
The Gregory Steven Tardaguila has been assigned the NPI (National Provider Identifier) 1629162631. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gregory Steven Tardaguila is physically located?
The Gregory Steven Tardaguila is physically situated at the following address: 220 N. Irena Ave., Redondo Beach, CA, 90277.
What is Gregory Steven Tardaguila's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory Steven Tardaguila's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date was the 1629162631 assigned to Gregory Steven Tardaguila?
The Gregory Steven Tardaguila was issued its 1629162631 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gregory Steven Tardaguila most recently updated?
The details pertaining to the Gregory Steven Tardaguila, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.