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Organization
MICHAEL ANDERSON CHIRPRACTIC INC
Active
Organization
MICHAEL ANDERSON CHIRPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANDERSON D.C. (DR OF CHIROPRACTIC OWNER)
(619) 523-0075
Entity
Organization
Contact information
Practice address
3156 SPORTS ARENA BLVD, SAN DIEGO, CA 92110-4525
(619) 523-0075
(619) 523-1718
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC18724
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC18724
LICENSE
CA
Enumeration date
03/17/2008
Last updated
03/17/2008
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