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Organization

KOWALIK CHIROPRACTIC INC

Active
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Organization

KOWALIK CHIROPRACTIC INC

Active
Other names
KOWALIK FAMILY CHIROPRACTIC
Organization subpart
No

Provider details

NPI number
Authorized official
DARYL G KOWALIK D.C. (DOCTOR OF CHIROPRACTIC)
(949) 380-8883
Entity
Organization

Contact information

Practice address
25431 TRABUCO RD, 4, LAKE FOREST, CA 92630-2787
(949) 380-8883
(949) 380-1308
Mailing address
25431 TRABUCO RD STE 4, LAKE FOREST, CA 92630-2779
(949) 380-8883
(949) 380-1308

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24455
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ06836Z
BLUE SHIELD
CA
Enumeration date
10/18/2006
Last updated
08/30/2017
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