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Organization
MICHAEL D BERRY DC, A PROFESSIONAL CORPORATION
Active
Organization
MICHAEL D BERRY DC, A PROFESSIONAL CORPORATION
Active
Other names
Katella Chiropractic Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D BERRY D.C. (CEO)
(714) 639-4640
Entity
Organization
Contact information
Practice address
1500 E KATELLA AVE, SUITE O, ORANGE, CA 92867-6302
(714) 639-4640
(714) 639-5628
Mailing address
1500 E KATELLA AVE, SUITE O, ORANGE, CA 92867-6302
(714) 639-4640
(714) 639-5628
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC11854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0118540A
BLUE SHIELD IDENTIFIER
CA
Enumeration date
05/21/2007
Last updated
01/06/2009
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