Blakemore California Chiropractic Office, Inc. | |
159 N Raymond Ave, Fullerton, CA 92831-4609 | |
(714) 871-2495 | |
(714) 871-3350 |
Full Name | Blakemore California Chiropractic Office, Inc. |
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Type | Facility |
Speciality | Chiropractor - Orthopedic |
Location | 159 N Raymond Ave, Fullerton, 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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1790081537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NX0800X | Chiropractor - Orthopedic | DC12131 (California) | Primary |
Provider Name | James G Blakemore |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194879254 PECOS PAC ID: 7012178387 Enrollment ID: I20120412000624 |
Mailing Address | Practice Location Address |
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Blakemore California Chiropractic Office, Inc. 159 N Raymond Ave, Fullerton, CA 92831-4609 Ph: (714) 871-2495 | Blakemore California Chiropractic Office, Inc. 159 N Raymond Ave, Fullerton, CA 92831-4609 Ph: (714) 871-2495 |
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