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Organization

MANAGO CHIROPRACTIC INC

Active
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Organization

MANAGO CHIROPRACTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID C MANAGO DC (DIRECTOR)
(949) 364-5656
Entity
Organization

Contact information

Practice address
777 CORPORATE DR STE 130, LADERA RANCH, CA 92694-2136
(949) 364-5656
(949) 364-9021
Mailing address
777 CORPORATE DR STE 130, LADERA RANCH, CA 92694-2136
(949) 364-5656
(949) 364-9021

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC14686
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0146860
BLUE CROS BLUE SHIELD
CA
Enumeration date
02/23/2007
Last updated
01/31/2021
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