Provider Demographics
NPI:1861406241
Name:BERINSCH, PAUL (DC)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:BERINSCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24578 SUNNYMEAD BLVD
Mailing Address - Street 2:SUITE C & D
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553
Mailing Address - Country:US
Mailing Address - Phone:951-924-5770
Mailing Address - Fax:951-485-8523
Practice Address - Street 1:23172 DUNHILL DR
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553
Practice Address - Country:US
Practice Address - Phone:951-924-5770
Practice Address - Fax:951-485-8523
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0162611Medicare ID - Type Unspecified