Organization · Type 2 NPI
Costa Chiropractic Corporation
Chiropractor · San Clemente, CA
NPI number
1053748533
Active
Practice location
181 Avenida Vaquero, Ste D
San Clemente, CA 92672-3600
Fax (949) 276-7393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC29364 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1053748533
Costa Chiropractic Corporation's National Provider Identifier is 1053748533, issued on Sep 30, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Clemente, CA. The record was last updated on Sep 7, 2016.