Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Medical Center, Inc

Organization Chiropractor · NPI 1689863714

Lake Medical Center, Inc is a Chiropractor in San Marcos, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1146 San Marino Dr
San Marcos, CA 92078-4649
Phone: (760) 471-2033
Fax: (760) 471-2083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence G26382 (CA)
Chiropractor Taxonomy 111N00000X · Licence DC17617 (CA)

Record details

NPI number1689863714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Shack — President · (760) 471-2033
NPI enumeratedOctober 15, 2007
Last updated in NPPESOctober 15, 2007
Mailing address1146 San Marino Dr, San Marcos, CA 92078-4649

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