Active Rest Chiropractic

NPI #1396057428 in La Jolla, California

Provider Information

NPI Number: 1396057428
Entity Type: Organization
Organization Name: Active Rest Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Jul 6, 2010
Last Updated: Jul 6, 2010

Practice Location

Address: 7825 FAY AVE
Address 2: 249
City: La Jolla
State: California
ZIP Code: 92037-4252
Phone: (858) 736-4056

Authorized Official

Name: DR. COLLAN LEE KOEPPEN, D.C.
Title: OWNER
Phone: (858) 736-4056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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