Pacific Spine & Sports, Inc. | |
14522 Myford Rd, Irvine, CA 92606-1000 | |
(949) 955-2655 | |
(949) 955-2699 |
Full Name | Pacific Spine & Sports, Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 14522 Myford Rd, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104944024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC23242 (California) | Primary |
171100000X | Acupuncturist | AC12049 (California) | Secondary |
Provider Name | Thai Khan A Dinhluu |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538287487 PECOS PAC ID: 5698796720 Enrollment ID: I20051215000898 |
Mailing Address | Practice Location Address |
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Pacific Spine & Sports, Inc. 14522 Myford Rd, Irvine, CA 92606-1000 Ph: (949) 955-2655 | Pacific Spine & Sports, Inc. 14522 Myford Rd, Irvine, CA 92606-1000 Ph: (949) 955-2655 |
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