Individual provider · Type 1 NPI
Sidney Sudberg, DC
Chiropractor · Costa Mesa, CA
NPI number
1073703534
Active
Practice location
1260 Logan Ave, Suite B 3
Costa Mesa, CA 92626-4020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC19682 (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 1073703534
Sidney Sudberg, DC's National Provider Identifier is 1073703534, issued on Jul 30, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Jan 13, 2012.