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Organization
GREENWOOD CENTER INC
Active
Organization
GREENWOOD CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP GREENWOOD D.C. (OWNER/PROVIDER)
(951) 600-0550
Entity
Organization
Contact information
Practice address
41555 CHERRY ST, SUITE# A, MURRIETA, CA 92562-6402
(951) 600-0550
(951) 600-9037
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC20986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205053493
INDIVIDUAL NPI
CA
01
—
BS539A
INDIVIDUAL PTAN
CO
01
—
DC0209860
BLUE SHIELD
CA
01
—
DC20986
CHIROPRACTIC LICENSE
CA
Enumeration date
12/16/2010
Last updated
12/16/2010
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