| |
13172 Saint Thomas Dr, North Tustin, CA 92705 | |
(714) 734-5600 | |
(714) 734-5622 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 13172 Saint Thomas Dr, North Tustin, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962624429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 17650 (California) | Primary |
Mailing Address | Practice Location Address |
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Po Box 1026, Tustin, CA 92781 Ph: (714) 734-5600 | 13172 Saint Thomas Dr, North Tustin, CA 92705 Ph: (714) 734-5600 |