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Organization
LIFESTYLE CHIROPRACTIC & SPORTS PERFORMANCE, A CAMACHO CORP.
Active
Organization
LIFESTYLE CHIROPRACTIC & SPORTS PERFORMANCE, A CAMACHO CORP.
Active
Other names
Lifestyle Chiropractic & Sports Performance
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERARDO CAMACHO DC (OWNER)
(626) 602-6138
Entity
Organization
Contact information
Practice address
2079 S ATLANTIC BLVD STE D, MONTEREY PARK, CA 91754-6368
(626) 602-6138
Mailing address
117 E GRANADA CT, ONTARIO, CA 91764-3219
(626) 602-6138
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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