Organization
BARATTA CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY BARATTA D..C (OWNER DR OF CHIROPRACTIC)
(916) 979-0716
Entity
Organization
Contact information
Practice address
6728 FAIR OAKS BLVD, 300, CARMICHAEL, CA 95608-3827
(916) 979-0716
(916) 979-0108
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730209586
INDIVIDUAL NPI
CA
01
—
DC0240810
BLUE SHIELD
CA
01
—
DC0240811
INDIVIDUAL PTAN
CA
01
—
DC24081
CHIROPRACTIC LICENSE
CA
01
—
ZZZ07746Z
GROUP PTAN
CA
Enumeration date
02/26/2008
Last updated
02/08/2011
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