Provider Demographics
NPI:1649336900
Name:CHUMBEIRO, PAMELA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ANN
Last Name:CHUMBEIRO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 N L ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-2806
Mailing Address - Country:US
Mailing Address - Phone:925-960-9050
Mailing Address - Fax:925-960-9047
Practice Address - Street 1:428 N L ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-2806
Practice Address - Country:US
Practice Address - Phone:925-960-9050
Practice Address - Fax:925-960-9047
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0237100Medicare ID - Type Unspecified