# MCCARTHY CHIROPRACTIC AND WELLNESS APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104528074
- **Authorized official:** DR. KATHRYN ANNE MCCARTHY DC (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (708) 543-9681

## Contact information

- **Practice address:** 5350 RILEY ST, SAN DIEGO, CA 92110-2621
- **Practice address phone:** (708) 543-9681
- **Mailing address:** 840 17TH ST APT 326, SAN DIEGO, CA 92101-6668
- **Mailing address phone:** (708) 543-9681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2023
- **Last updated:** 04/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1790379774 | PROVIDER NPI | — |