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

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC19682 (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.