Ken Louis Cassorla in Aptos - Sports Physician
Ken Louis Cassorla - NPI 1194878561
Ken Louis Cassorla is a Sports Physician in Aptos, California. Ken Louis Cassorla practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Ken Louis Cassorla is 1194878561. The last update date is 2007-07-08.
Ken Louis Cassorla's current location address is 940 Willow Hts, Aptos, California. You can contact this provider via phone number 8316841688 and fax number 8316849331. The mailing address for Ken Louis Cassorla is 940 Willow Hts, Aptos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ken Louis Cassorla |
|---|---|
| Address | 940 Willow Hts, Aptos, California |
| Phone Number | 8316841688 |
| Fax Number | 8316849331 |
| Sole Proprietor | N |
| Credentials | D,C. |
NPI Number Detail
| NPI Number | 1194878561 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 940 Willow Hts |
|---|---|
| City | Aptos |
| State | California (CA) |
| Post Code | 950039592 |
| Phone Number | 8316841688 |
| Fax Number | 8316849331 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 13971 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identification code issued to Ken Louis Cassorla by the Centers for Medicare & Medicaid Services?
The Ken Louis Cassorla has been assigned the NPI (National Provider Identifier) 1194878561 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Ken Louis Cassorla is physically located?
The Ken Louis Cassorla is situated at the following address: 940 Willow Hts, Aptos, CA 950039592.
What is Ken Louis Cassorla's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ken Louis Cassorla's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194878561 to Ken Louis Cassorla?
The Centers for Medicare & Medicaid Services originally issued the 1194878561 to Ken Louis Cassorla on 2007-01-19.
As of what date was the information regarding Ken Louis Cassorla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ken Louis Cassorla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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