Organization · Type 2 NPI

Blue Water Coastal, LLC

Chiropractor · Carlsbad, CA

NPI number 1063764686 Active

Practice location

785 Grand Ave, #100
Carlsbad, CA 92008-2370

Fax (760) 729-3201

Mailing address

PO Box 1176
Cardiff, CA 92007-7176

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC29910 (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.

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About NPI 1063764686

Blue Water Coastal, LLC's National Provider Identifier is 1063764686, issued on Oct 5, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Carlsbad, CA. The record was last updated on Oct 5, 2012.