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Organization
SURACES CHIROPRACTIC BACK ALERT CLINIC, A PROFESSIONAL CORPORATION
Active
Organization
SURACES CHIROPRACTIC BACK ALERT CLINIC, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT J. SURACE D.C. (CHIROPRACTOR)
(310) 831-5700
Entity
Organization
Contact information
Practice address
643 S BUTTE ST, SAN PEDRO, CA 90732-3510
(310) 831-5700
(310) 831-5700
Mailing address
643 S BUTTE ST, SAN PEDRO, CA 90732-3510
(310) 831-5700
(310) 831-5700
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
10283
CA
Other
Enumeration date
01/08/2010
Last updated
08/04/2016
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