# ERIC MUMBAUER ,D.C. A CHIROPRACTIC CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** mumbauer chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376789099
- **Authorized official:** DR. ERIC PHILLIP MUMBAUER D.C. (CEO)
- **Authorized official phone:** (818) 365-0653

## Contact information

- **Practice address:** 601 S BRAND BLVD, ST 103, SAN FERNANDO, CA 91340-4040
- **Practice address phone:** (818) 365-0653
- **Mailing address:** 601 S BRAND BLVD, ST 103, SAN FERNANDO, CA 91340-4040
- **Mailing address phone:** (818) 365-0653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | DC11343 | CA | Yes |

## Other

- **Enumeration date:** 12/30/2008
- **Last updated:** 12/30/2008