Organization Name: | SOUTH COAST SPINE CENTER SALES CHIROPRACTIC CORPORATION |
NPI Number: | 1679838239 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID C SALES (PRESIDENT) |
Mailing Address: | 26841 Calle Hermosa Suite A Capistrano Beach |
State: | CA US |
Postal Code: | 926241674 |
Phone Number: | 9494889600 |
Fax Number: | 9494889601 |
NPI Enumeration Date: | 07/10/2012 |
NPI Last Update Date: | 07/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |