# THE BREAK OFF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215740170
- **Authorized official:** CHARLENE CHANDLER (COO)
- **Authorized official phone:** (562) 370-5523

## Contact information

- **Practice address:** 1735 S DALLAS DR, ANAHEIM, CA 92804-6503
- **Practice address phone:** (562) 370-5523
- **Mailing address:** 1735 S DALLAS DR, ANAHEIM, CA 92804-6503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | — | NULL | — |
| 111NN1001X | Nutrition Chiropractor | — | — | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 03/10/2025