Organization
ERIC GROSS CHIROPRACTIC INC
Active
Parent organization
EJ CHIROPRACTIC
Other names
EJ Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
EJ CHIROPRACTIC
Authorized official
MRS. ELAINE STANGLER CMB, CCCPC (BILLING MANAGER)
(619) 851-2199
Entity
Organization
Contact information
Practice address
6376 DEL CERRO BLVD, SAN DIEGO, CA 92120-4703
(619) 582-2172
(619) 582-2207
Mailing address
6376 DEL CERRO BLVD, SAN DIEGO, CA 92120-4703
(619) 582-2172
(619) 582-2207
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457367328
NPI
CA
Enumeration date
03/03/2021
Last updated
03/03/2021
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