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Organization

JAUREGUI WRIGHTWOOD CHIROPRACTIC CARE, INC

Active
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Organization

JAUREGUI WRIGHTWOOD CHIROPRACTIC CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIO A JAUREGUI D.C. (DOCTOR OF CHIROPRACTIC)
(760) 249-6877
Entity
Organization

Contact information

Practice address
1261 EVERGREEN RD, WRIGHTWOOD, CA 92397
(760) 249-6877
(760) 249-6377
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28246
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0282460
BLUE SHIELD
CA
01
—
DC28246
CHIROPRACTIC LICENSE
CA
Enumeration date
10/23/2006
Last updated
09/02/2010
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