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Organization
GORDON H GRANNIS, D.C., A CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Organization
GORDON H GRANNIS, D.C., A CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Other names
Grannis Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON HARRIMAN GRANNIS D.C. (PRESIDENT)
(949) 448-8599
Entity
Organization
Contact information
Practice address
24541 PACIFIC PARK DR STE 290, ALISO VIEJO, CA 92656-3058
(949) 448-8599
(949) 448-8595
Mailing address
24541 PACIFIC PARK DR STE 290, ALISO VIEJO, CA 92656-3058
(949) 448-8599
(949) 448-8595
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC12688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104849793
NPI FOR GORDON GRANNIS
CA
Enumeration date
08/31/2006
Last updated
04/20/2008
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