| Kent G Carlomagno A Prof Chiropractic Corp | |
|
710 C St, Suite 12, San Rafael, CA 94901-3857 | |
| (415) 721-7520 | |
| (416) 721-7535 |
| Full Name | Kent G Carlomagno A Prof Chiropractic Corp |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 710 C St, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467519488 | NPI | - | NPPES |
| 1467519488 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 15882 (California) | Primary |
| Provider Name | Kent Carlomagno |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770768954 PECOS PAC ID: 9234328832 Enrollment ID: I20110113000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent G Carlomagno A Prof Chiropractic Corp 710 C St, Ste 12, San Rafael, CA 94901-3857 Ph: (415) 721-7520 | Kent G Carlomagno A Prof Chiropractic Corp 710 C St, Suite 12, San Rafael, CA 94901-3857 Ph: (415) 721-7520 |
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