Individual
JOSEPH DIQUATTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
400 S FARRELL DR, SUITE B101, PALM SPRINGS, CA 92262-7964
(760) 416-9199
(760) 416-9249
Mailing address
400 S FARRELL DR, SUITE B101, PALM SPRINGS, CA 92262-7964
(760) 416-9199
(760) 416-9249
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC171000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0171000
MEDICARE PTAN
CA
01
—
DC17100
DC LICENSE
CA
Enumeration date
07/06/2006
Last updated
05/18/2016
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