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Organization
STRAW CHIROPRACTIC CORP
Active
Organization
STRAW CHIROPRACTIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP A STRAW D.C. (PRESIDENT/OWNER)
(949) 297-3704
Entity
Organization
Contact information
Practice address
23101 LAKE CENTER DR STE 101, LAKE FOREST, CA 92630-2898
(949) 297-3704
Mailing address
15550 ROCKFIELD BLVD STE B220, IRVINE, CA 92618-6703
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104929371
INDIVIDUAL NPI
CA
01
—
DC24628
CHIROPRACTIC LICENSE
CA
Enumeration date
03/08/2011
Last updated
04/25/2011
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