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Organization
SALEM CHIROPRACTIC PC
Active
Organization
SALEM CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J SALEM D.C. (OWNER)
(714) 832-4010
Entity
Organization
Contact information
Practice address
13891 NEWPORT AVE STE 290, TUSTIN, CA 92780-7835
(714) 832-4010
(714) 515-5969
Mailing address
13882 NEWPORT AVE, SUITE B, TUSTIN, CA 92780-4666
(714) 832-4010
(714) 832-2423
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC17986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC17986
PTAN
CA
Enumeration date
11/13/2007
Last updated
08/26/2022
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