| Boulton Soul Align Chiropractic Inc | |
|
300 S El Camino Real Ste 202, San Clemente, CA 92672-4070 | |
| (916) 337-1404 | |
| Not Available |
| Full Name | Boulton Soul Align Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 300 S El Camino Real Ste 202, San Clemente, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396457305 | NPI | - | NPPES |
| 1225612583 | Other | CA | NPI TYPE I |
| DC36084 | Other | CA | LICENSED DOCTOR OF CHIROPORACTIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Whitney Lynn Boulton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225612583 PECOS PAC ID: 9830598549 Enrollment ID: I20210601000833 |
| Mailing Address | Practice Location Address |
|---|---|
| Boulton Soul Align Chiropractic Inc 316 Cazador Ln Unit C, San Clemente, CA 92672-6643 Ph: (916) 337-1404 | Boulton Soul Align Chiropractic Inc 300 S El Camino Real Ste 202, San Clemente, CA 92672-4070 Ph: (916) 337-1404 |
Sepideh Forstie Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1300 Avenida Vista Hermosa, Ste 100, San Clemente, CA 92673 Phone: 949-939-2928 | |
Dr. Cynthia Shoga, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 125 W Avenida Palizada, San Clemente, CA 92672 Phone: 949-492-3532 | |
Costa Lifestlye Medicine Chiropractor Medicare: Medicare Enrolled Practice Location: 181 Avenida Vaquero, Ste D, San Clemente, CA 92672 Phone: 949-218-4750 Fax: 949-276-7393 | |
Dr. Sepideh Forstie, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1300 Avenida Vista Hermosa, Suite 100, San Clemente, CA 92673 Phone: 949-939-2928 | |
Dr. Nancy Molina, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 647 Camino De Los Mares 226, San Clemente, CA 92673 Phone: 949-248-2826 Fax: 949-248-2815 | |
Wayne Greathouse, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 Avenida Cabrillo, Ste C, San Clemente, CA 92672 Phone: 949-481-8282 Fax: 949-218-6303 | |
David Ahrens Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 629 Camino De Los Mares, Suite 104, San Clemente, CA 92673 Phone: 714-240-1334 Fax: 949-240-4434 |