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Organization
LEUCADIA CHIROPACTIC CLINIC, INC.
Active
Organization
LEUCADIA CHIROPACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SEBASTIAN D.C. (PRESIDENT)
(760) 942-3321
Entity
Organization
Contact information
Practice address
1351 ENCINITAS BLVD, ENCINITAS, CA 92024-2845
(760) 942-3321
(760) 942-4468
Mailing address
280 N COAST HIGHWAY 101, ENCINITAS, CA 92024-3254
(760) 942-3321
(760) 942-4468
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC20873
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC20873
CHIROPRACTIC LICENSE
CA
Enumeration date
04/23/2007
Last updated
10/28/2019
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