Advanced Health & Wellness Center | |
676 E 1st Ave Ste 15, Chico, CA 95926-3547 | |
(530) 893-9363 | |
Not Available |
Full Name | Advanced Health & Wellness Center |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 676 E 1st Ave Ste 15, Chico, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417000696 | NPI | - | NPPES |
DC0225221 | Other | CA | CHIROPRACTIC LICENSE NUMB |
ZZZ66762Z | Other | CA | BLUE SHIELD PROVIDER NUMB |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC0225221 (California) | Primary |
Provider Name | Karen D Azevedo |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1326191529 PECOS PAC ID: 9931193703 Enrollment ID: I20040413001767 |
Mailing Address | Practice Location Address |
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Advanced Health & Wellness Center 676 E 1st Ave Ste 15, Chico, CA 95926-3547 Ph: (530) 893-9363 | Advanced Health & Wellness Center 676 E 1st Ave Ste 15, Chico, CA 95926-3547 Ph: (530) 893-9363 |
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