Provider Demographics
NPI:1861087504
Name:YEO-ABELLA CHIROPRACTIC
Entity type:Organization
Organization Name:YEO-ABELLA CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:BRITNEY
Authorized Official - Middle Name:GUTLAY
Authorized Official - Last Name:YEO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:858-216-5510
Mailing Address - Street 1:13730 SHOAL SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4749
Mailing Address - Country:US
Mailing Address - Phone:858-216-5510
Mailing Address - Fax:
Practice Address - Street 1:5482 COMPLEX ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1146
Practice Address - Country:US
Practice Address - Phone:858-216-5510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty