Individual provider · Type 1 NPI

Michael Anthony Coppola Jr., DC

Chiropractor · San Clemente, CA

NPI number 1699962423 Active

Practice location

655 Camino De Los Mares, Suite 121
San Clemente, CA 92673-2809

Call (949) 487-1231 Map

Fax (949) 487-0221

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC 30393 (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 1699962423

Michael Anthony Coppola Jr., DC's National Provider Identifier is 1699962423, issued on Sep 25, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Clemente, CA. The record was last updated on Sep 25, 2007.