Sports And Wellness Chiropractic | |
2791 Green River Rd Ste 101, Corona, CA 92882-7452 | |
(951) 734-7692 | |
Not Available |
Full Name | Sports And Wellness Chiropractic |
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Type | Facility |
Speciality | Chiropractor - Sports Physician |
Location | 2791 Green River Rd Ste 101, Corona, 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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1225433980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NS0005X | Chiropractor - Sports Physician | 31964 (California) | Primary |
Provider Name | Hoan Duc Nguyen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1407136336 PECOS PAC ID: 0345409611 Enrollment ID: I20120306000179 |
Mailing Address | Practice Location Address |
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Sports And Wellness Chiropractic 2791 Green River Rd Ste 101, Corona, CA 92882-7452 Ph: () - | Sports And Wellness Chiropractic 2791 Green River Rd Ste 101, Corona, CA 92882-7452 Ph: (951) 734-7692 |
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