Organization · Type 2 NPI
Tristar Medical Group Professional Corp.
Chiropractor · Costa Mesa, CA
NPI number
1801010731
Active
Practice location
1901 Newport Blvd Ste 177
Costa Mesa, CA 92627-2284
Mailing address
1901 Newport Blvd
Costa Mesa, CA 92627-2278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC24281 (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 1801010731
Tristar Medical Group Professional Corp.'s National Provider Identifier is 1801010731, issued on Apr 12, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Aug 22, 2020.