| |
1107 O St, Firebaugh, CA 93622-2224 | |
(559) 659-9000 | |
(559) 659-9017 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1107 O St, Firebaugh, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568657351 | NPI | - | NPPES |
ZZZ269732 | Other | CA | MCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 21046 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
1107 O St, Firebaugh, CA 93622-2224 Ph: (559) 659-9000 | 1107 O St, Firebaugh, CA 93622-2224 Ph: (559) 659-9000 |