Organization
SHAWN SCOTT CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIE LEISKE (OFFICE MANAGER)
(760) 340-0100
Entity
Organization
Contact information
Practice address
72925 FRED WARING DR, STE. 204, PALM DESERT, CA 92260-9401
(760) 340-0100
(760) 340-1125
Mailing address
72925 FRED WARING DR, STE. 204, PALM DESERT, CA 92260-9401
(760) 340-0100
(760) 340-1125
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
19978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0199780
MEDICARE PTAN
—
Enumeration date
10/16/2009
Last updated
10/16/2009
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