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6680 Bay Laurel Pl Ste G, Avila Beach, CA 93424-3504 | |
(805) 541-6966 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 6680 Bay Laurel Pl Ste G, Avila Beach, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750992863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | David Robert Sedghi |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1225698269 PECOS PAC ID: 2163842907 Enrollment ID: I20201030000498 |
Mailing Address | Practice Location Address |
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Po Box 722, Avila Beach, CA 93424-0722 Ph: (805) 541-6966 | 6680 Bay Laurel Pl Ste G, Avila Beach, CA 93424-3504 Ph: (805) 541-6966 |