| |
2675 Irvine Ave, Suite 100, Costa Mesa, CA 92627-4653 | |
(949) 631-6042 | |
(949) 631-6057 |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 2675 Irvine Ave, Costa Mesa, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760861728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC26387 (California) | Secondary |
171100000X | Acupuncturist | AC6304 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
2675 Irvine Ave, Suite 100, Costa Mesa, CA 92627-4653 Ph: (949) 631-6042 | 2675 Irvine Ave, Suite 100, Costa Mesa, CA 92627-4653 Ph: (949) 631-6042 |