Individual provider · Type 1 NPI

Elisha Blackmar Van Deusen Iv, DC

Chiropractor · Fountain Valley, CA

NPI number 1265445837 Active

Practice location

17220 Newhope St, Suite 123
Fountain Valley, CA 92708-4272

Call (714) 556-6966 Map

Fax (714) 556-6967

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC28866 (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.

10 other providers at this address

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About NPI 1265445837

Elisha Blackmar Van Deusen Iv, DC's National Provider Identifier is 1265445837, issued on Aug 14, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fountain Valley, CA. The record was last updated on Apr 17, 2015.