Individual provider · Type 1 NPI
Johnny Mansour, DC
Chiropractor · Ontario, CA
NPI number
1689740482
Active
Practice location
1801 Excise Avenue, Suite 109
Ontario, CA 91761
Fax (909) 937-0353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC25895 (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 1689740482
Johnny Mansour, DC's National Provider Identifier is 1689740482, issued on Nov 27, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ontario, CA. The record was last updated on Jul 8, 2007.