Individual provider · NPI-1
Dr. Mark De Dubovay, D.C.
Chiropractor · Westminster, CA
NPI number1790714160
StatusActive
Last updated in NPPESAug 27, 2018
Details
- NPI
- 1790714160
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark De Dubovay
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2006
- Last updated
- Aug 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC17394 | CA | Yes |
Practice location
14340 Bolsa Chica Rd Ste GWestminster, CA 92683
Phone 562-795-6680 · Fax 562-799-9575
Mailing address
14340 Bolsa Chica Rd Ste GWestminster, CA 92683-4868
Phone 562-795-6680 · Fax 562-799-9575
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