| Russell Thompson Chiropractic Inc | |
|
629 Camino De Los Mares, Ste. 104 San Clemente CA 92672 | |
| (949) 240-1334 | |
| (949) 240-4434 |
| Full Name | Russell Thompson Chiropractic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 629 Camino De Los Mares, Ste. 104, San Clemente, California |
| Authorized Official Name and Position | Cathy Stabley (OFFICE MANAGER) |
| Authorized Official Contact | 9492401334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Thompson Chiropractic Inc 629 Camino De Los Mares Ste 104 San Clemente CA 92673-2829 Ph: (949) 240-1334 | Russell Thompson Chiropractic Inc 629 Camino De Los Mares, Ste. 104 San Clemente CA 92672 Ph: (949) 240-1334 |
| NPI Number | 1174046874 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3274806336 |
|---|---|
| Medicare Enrollment ID | O20170912001458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174046874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC31976 (California) | Primary |
| Provider Name | Russell J Thompson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487946919 PECOS PAC ID: 5991928277 Enrollment ID: I20140514002401 |
Care Gastroenterology Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 Camino De Los Mares, Sute 123, San Clemente, CA 92673 Phone: 949-443-1546 Fax: 949-443-1077 | |
Active Life Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 Camino De Estrella, San Clemente, CA 92672 Phone: 949-487-1231 | |
California Rehabilitation & Sports Therapy A California Physical Ther Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Avenida Pico, San Clemente, CA 92672 Phone: 949-245-6581 Fax: 949-688-2136 | |
Inchel Yeam Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Camino De Los Mares Ste 200, San Clemente, CA 92673 Phone: 949-489-8783 | |
San Clemente Internal Medical Group Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 665 Camino De Los Mares Ste 309, San Clemente, CA 92673 Phone: 949-487-9034 Fax: 949-493-3721 | |
Joomo Yang, Md., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2403 Camino Corso Rio, San Clemente, CA 92673 Phone: 949-226-8416 Fax: 949-226-8019 | |
Hybrid Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1031 Avenida Pico, Sutie 103, San Clemente, CA 92673 Phone: 202-904-8490 |