Individual provider · Type 1 NPI
Corey Peterson, DC
Chiropractor · Costa Mesa, CA
NPI number
1801542774
Active
Practice location
3186 Airway Ave Ste J
Costa Mesa, CA 92626-4650
Mailing address
2345 Newport Blvd Apt L102
Costa Mesa, CA 92627-6533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC36259 (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 1801542774
Corey Peterson, DC's National Provider Identifier is 1801542774, issued on Mar 1, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Feb 24, 2024.