| Lifeline Chiropractic | |
|
2975 Fairview Rd, Costa Mesa, CA 92626-4117 | |
| (714) 662-2142 | |
| Not Available |
| Full Name | Lifeline Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2975 Fairview Rd, Costa Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356482707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC25808 (California) | Primary |
| Provider Name | Brian J Stanton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215116926 PECOS PAC ID: 9830092741 Enrollment ID: I20040128001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Chiropractic 2975 Fairview Rd, Costa Mesa, CA 92626-4117 Ph: (714) 662-2142 | Lifeline Chiropractic 2975 Fairview Rd, Costa Mesa, CA 92626-4117 Ph: (714) 662-2142 |
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