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Organization
VITALITY FAMILY CHIROPRACTIC
Active
Organization
VITALITY FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADY CHRISTOPHER SALCIDO D.C. (OWNER)
(805) 379-3653
Entity
Organization
Contact information
Practice address
99 LONG CT, #103, THOUSAND OAKS, CA 91360-6066
(805) 379-3653
Mailing address
99 LONG CT, #103, THOUSAND OAKS, CA 91360-6066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
32830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB223013
MEDICARE ID
CA
Enumeration date
06/08/2015
Last updated
06/08/2015
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