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Organization
MOLINA CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Organization
MOLINA CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY MOLINA D.C. (CEO/OWNER)
(949) 248-2826
Entity
Organization
Contact information
Practice address
647 CAMINO DE LOS MARES, SUITE 226, SAN CLEMENTE, CA 92673-2825
(949) 248-2826
(949) 248-2815
Mailing address
647 CAMINO DE LOS MARES, 226 POST STOP108-90, SAN CLEMENTE, CA 92673-2825
(949) 248-2826
(949) 248-2815
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ07388Z
BLUE CROSS/BLUE SHIELD
CA
Enumeration date
04/12/2006
Last updated
08/12/2015
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