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Organization
TIMOTHY R TWOMBLY DC & KENNETH D ERICKSON DC A CHIROPRACTIC CORP
Active
Organization
TIMOTHY R TWOMBLY DC & KENNETH D ERICKSON DC A CHIROPRACTIC CORP
Active
Other names
Irvine Spine and Sport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DAVID ERICKSON DC (CHIROPRACTOR)
(949) 857-1888
Entity
Organization
Contact information
Practice address
1110 ROOSEVELT, SUITE# 100, IRVINE, CA 92620-3686
(949) 857-1888
(949) 857-4536
Mailing address
15520 ROCKFIELD BLVD, A220, IRVINE, CA 92618-2717
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ50052Z
BLUE SHIELD
CA
Enumeration date
12/18/2006
Last updated
09/14/2016
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