Back To Basics Health And Wellness | |
20162 Sw Birch St Ste 280, Newport Beach, CA 92660-1536 | |
(949) 650-0736 | |
Not Available |
Full Name | Back To Basics Health And Wellness |
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Type | Facility |
Speciality | Chiropractor |
Location | 20162 Sw Birch St Ste 280, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1235497728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 29287 (California) | Primary |
Provider Name | Shayna Chrystine Guitare |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1295237600 PECOS PAC ID: 4880927490 Enrollment ID: I20190828002687 |
Provider Name | Ryan Blake Samuelian |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1346362431 PECOS PAC ID: 5991033359 Enrollment ID: I20191209001730 |
Mailing Address | Practice Location Address |
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Back To Basics Health And Wellness 20162 Sw Birch St Ste 280, Newport Beach, CA 92660-1536 Ph: (949) 650-0736 | Back To Basics Health And Wellness 20162 Sw Birch St Ste 280, Newport Beach, CA 92660-1536 Ph: (949) 650-0736 |
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