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Organization
ULTA CARE GANSERT CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Organization
ULTA CARE GANSERT CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN KARL GANSERT GANSERT (CEO)
(626) 852-2268
Entity
Organization
Contact information
Practice address
423 MACKAY DR STE APT, SAN BERNARDINO, CA 92408-3230
(626) 665-8135
(909) 460-0433
Mailing address
423 MACKAY DR STE APT, SAN BERNARDINO, CA 92408-3230
(626) 665-8135
(909) 460-0433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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