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Organization
TSAMOUTALIDIS CHIROPRACTIC CORPORATIO
Active
Organization
TSAMOUTALIDIS CHIROPRACTIC CORPORATIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KONSTANTINOS TSAMOUTALIDIS DC (OWNER)
(951) 314-3088
Entity
Organization
Contact information
Practice address
21139 NEWPORT COAST DR, NEWPORT COAST, CA 92657-1122
(951) 314-3088
(951) 840-2320
Mailing address
14 TRANTO DR, NEWPORT COAST, CA 92657-1508
(951) 314-3088
(951) 840-2320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28189
CA
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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