Provider Demographics
NPI:1861432858
Name:ZAPPALA, JOSEPH M (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:M
Last Name:ZAPPALA
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 1:2664 NEWPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-4641
Mailing Address - Country:US
Mailing Address - Phone:949-631-5226
Mailing Address - Fax:949-631-8538
Practice Address - Street 1:2664 NEWPORT BLVD
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-4641
Practice Address - Country:US
Practice Address - Phone:949-631-5226
Practice Address - Fax:949-631-8538
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20450111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWDC20450BOtherOTHER
CAWDC20450BOtherOTHER