Organization
RIFFELCHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD THOMAS RIFFEL DC (CHIEF)
(805) 709-2002
Entity
Organization
Contact information
Practice address
124 EL VIENTO, PISMO BEACH, CA 93449-2864
(805) 709-2002
Mailing address
500 CYPRESS ST STE 17, PISMO BEACH, CA 93449-2624
(805) 709-2002
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
10678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC10678
MEDICARE PROVIDER ID
CA
Enumeration date
05/09/2014
Last updated
05/09/2014
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