| Premier Health Care Chiropractic & Wellness | |
|
1238 Puerta Del Sol Ste 1a 1a San Clemente CA 92673-6310 | |
| (949) 492-7488 | |
| (949) 492-6658 |
| Full Name | Premier Health Care Chiropractic & Wellness |
|---|---|
| Speciality | Clinic/center |
| Location | 1238 Puerta Del Sol Ste 1a, San Clemente, California |
| Authorized Official Name and Position | Bradley Shapero (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9494927488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Care Chiropractic & Wellness 1001 Avenida Pico Suite C460 San Clemente CA 92673-6957 Ph: (949) 492-7488 | Premier Health Care Chiropractic & Wellness 1238 Puerta Del Sol Ste 1a 1a San Clemente CA 92673-6310 Ph: (949) 492-7488 |
| NPI Number | 1922302314 |
|---|---|
| Provider Enumeration Date | 12/29/2010 |
| Last Update Date | 12/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922302314 | NPI | - | NPPES |
| DJ451A | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (California) | Primary |
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