Individual provider · Type 1 NPI
Sam Putres Khumooro, DC
Chiropractor · Moreno Valley, CA
NPI number
1962543504
Active
Practice location
23080 Alessandro Blvd Ste 204
Moreno Valley, CA 92553-9674
Fax (951) 571-4091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC-25727 (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 1962543504
Sam Putres Khumooro, DC's National Provider Identifier is 1962543504, issued on Feb 8, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jul 8, 2007.