Sport & Spine, INC.
Chiropractor, Sports Physician in Huntington Beach, CA. Organization (NPI-2).
NPI number1407093552
StatusActive
Last updated in NPPESJan 12, 2009
Details
- NPI
- 1407093552
- Entity type
- Organization (NPI-2)
- Legal business name
- Sport & Spine, INC.
- Organization subpart
- No
- Enumeration date
- Jan 12, 2009
- Last updated
- Jan 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | 25792 | CA | Yes |
| 111NR0400X | Chiropractor, Rehabilitation | 25792 | CA |
Practice location
9121 Atlanta Ave# 532
Huntington Beach, CA 92646-6309
Phone 714-609-7966
Mailing address
9121 Atlanta Ave# 532
Huntington Beach, CA 92646-6309
Authorized official
Greg Rothstein
Secretary
7146097966
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All 11 Sports Physician Chiropractor providers in Huntington Beach · All 5,320 providers in Huntington Beach
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