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Organization
GREGORY J VALENTINE A C P C
Active
Organization
GREGORY J VALENTINE A C P C
Active
Other names
Valentine Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J VALENTINE D.C. (PROVIDER)
(714) 738-0115
Entity
Organization
Contact information
Practice address
162 N RAYMOND AVE, FULLERTON, CA 92831-4610
(714) 738-0115
(714) 525-0755
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC16571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0165710
INDIVIDUAL BS PIN
CA
01
—
DC16571
INDIVIDUAL PTAN
CA
Enumeration date
08/12/2011
Last updated
09/08/2011
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