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Organization
PREMIERE CHIROPRACTIC AND PHYSICAL THERAPY
Active
Organization
PREMIERE CHIROPRACTIC AND PHYSICAL THERAPY
Active
Other names
Corona Chiropractic and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONG HYUN GWAG DC (OWNER)
(714) 334-6211
Entity
Organization
Contact information
Practice address
900 S MAIN ST., UNIT 210, CORONA, CA 92882
(714) 334-6211
Mailing address
900 S MAIN ST., UNIT 210, CORONA, CA 92882
(714) 334-6211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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