| Thorburn Chiropractic & Wellness Center Inc. | |
|
1612 W Burbank Blvd Burbank CA 91506-1311 | |
| (818) 841-1313 | |
| (818) 841-3340 |
| Full Name | Thorburn Chiropractic & Wellness Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1612 W Burbank Blvd, Burbank, California |
| Authorized Official Name and Position | Charlene Beddard Thorburn (BUSINESS OWNER) |
| Authorized Official Contact | 8188411313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thorburn Chiropractic & Wellness Center Inc. 1612 W Burbank Blvd Burbank CA 91506-1311 Ph: (818) 841-1313 | Thorburn Chiropractic & Wellness Center Inc. 1612 W Burbank Blvd Burbank CA 91506-1311 Ph: (818) 841-1313 |
| NPI Number | 1346796729 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 03/24/2017 |
| Medicare PECOS PAC ID | 1850676297 |
|---|---|
| Medicare Enrollment ID | O20170327000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346796729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC12296 (California) | Primary |
| Provider Name | Charlene Beddard Thorburn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134299761 PECOS PAC ID: 6204094436 Enrollment ID: I20120220000782 |
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