Organization
FALKENROTH CHIROPRACTIC INC
Active
Other names
Five Star Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FALKENROTH DC (PRESIDENT)
(831) 475-8600
Entity
Organization
Contact information
Practice address
2959 PARK AVE STE F, SOQUEL, CA 95073-2863
(831) 475-8600
(831) 475-8601
Mailing address
11022 WINNERS CIR, SUITE 107, LOS ALAMITOS, CA 90720-2883
(562) 430-9479
(562) 430-9473
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992800833
INDIVIDUAL NPI NUMBER
CA
01
—
DC25861
STATE LICENSE NUMBER
CA
01
—
ZZZ64963Z
BLUE SHIELD ID#
CA
Enumeration date
12/12/2006
Last updated
01/02/2009
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