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Organization
ONTIVEROS CHIROPRACTIC, A CALIFORNIA PROFESSIONAL CORPORATION
Active
Organization
ONTIVEROS CHIROPRACTIC, A CALIFORNIA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ONTIVEROS DC (OWNER)
(828) 719-5658
Entity
Organization
Contact information
Practice address
701 W KIMBERLY AVE STE 130, PLACENTIA, CA 92870-6301
(828) 719-5658
Mailing address
17748 SKY PARK CIR STE 240, IRVINE, CA 92614-4472
(828) 719-5658
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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