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Organization
OC BACK & BODY DOCTORS
Active
Organization
OC BACK & BODY DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DESIREE DEANNE EDLUND D.C. (CLINIC DIRECTOR)
(949) 724-0011
Entity
Organization
Contact information
Practice address
17264 RED HILL AVE, IRVINE, CA 92614-5628
(949) 724-0011
(949) 724-0012
Mailing address
17264 RED HILL AVE, IRVINE, CA 92614-5628
(949) 724-0011
(949) 724-0012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC26277
CA
261QP2000X
Physical Therapy Clinic/Center
PT28504
CA
Other
Enumeration date
08/13/2006
Last updated
08/04/2008
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