Island Chiropractic Physical Therapy And Massage is a
Chiropractor based in Balboa Island, California. Island Chiropractic Physical Therapy And Massage is licensed to practice in California (license number DC-31351) and their current practice location is
128 Agate Ave Ste C, Balboa Island, California. It can be reached at their office (for appointments etc.) via phone at
(949) 723-0702.
NPI number for Island Chiropractic Physical Therapy And Massage is 1881991750 and their current mailing address is 128 Agate Ave Ste C, Balboa Island, California. Island Chiropractic Physical Therapy And Massage
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1881991750.
Healthcare Provider's Profile
| Full Name | Island Chiropractic Physical Therapy And Massage |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 128 Agate Ave Ste C, Balboa Island, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881991750
- Provider Enumeration Date: 02/11/2011
- Last Update Date: 03/17/2011
Medical Identifiers
Medical identifiers for Island Chiropractic Physical Therapy And Massage such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881991750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC-31351 (California) | Primary |
| 111N00000X | Chiropractor | DC-28103 (California) | Secondary |
| 225X00000X | Occupational Therapist | OT-5678 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Island Chiropractic Physical Therapy And Massage is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Island Chiropractic Physical Therapy And Massage
128 Agate Ave Ste C,
Balboa Island, CA 92662-1085
Ph: (949) 723-0702 | Island Chiropractic Physical Therapy And Massage
128 Agate Ave Ste C,
Balboa Island, CA 92662-1085
Ph: (949) 723-0702 |
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