Individual provider · Type 1 NPI
Mary Vendetta Vendetta, DC
Chiropractor · Costa Mesa, CA
NPI number
1710216643
Active
Practice location
1905 Fullerton Ave, #A
Costa Mesa, CA 92627-2277
Fax (949) 548-5803
Mailing address
P.o. Box 4298
Costa Mesa, CA 92628-4298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC22881 (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 1710216643
Mary Vendetta Vendetta, DC's National Provider Identifier is 1710216643, issued on Dec 24, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Nov 25, 2022.