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Organization
TOTAL BODY HEALTHCARE, INC.
Active
Organization
TOTAL BODY HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHYLE E BEAIRD M.D. (CEO/MEDICAL DIRECTOR)
(949) 855-8845
Entity
Organization
Contact information
Practice address
24401 MUIRLANDS BLVD STE C, LAKE FOREST, CA 92630-3949
(949) 855-8845
(949) 855-9167
Mailing address
1057 E IMPERIAL HWY, SUITE 614, PLACENTIA, CA 92870-1717
(714) 293-4060
(714) 577-9020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G81865
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
G81865
CA
2083X0100X
Occupational Medicine Physician
G81865
CA
Other
Enumeration date
06/14/2012
Last updated
03/15/2018
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