The Head, Neck, Back Pain Center
Chiropractor in Fountain Valley, CA. Organization (NPI-2).
NPI number1982809646
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982809646
- Entity type
- Organization (NPI-2)
- Legal business name
- The Head, Neck, Back Pain Center
- Organization subpart
- No
- Enumeration date
- Jun 20, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC0228350 | CA | Yes |
Practice location
10529 Slater AveFountain Valley, CA 92708-4841
Phone 714-965-9999
Mailing address
10529 Slater AveFountain Valley, CA 92708-4841
Phone 714-965-9999
Authorized official
Carey Clark
Billing Representative
7607497414
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