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Organization
HUCKABY CHIROPRACTIC, CORP
Active
Organization
HUCKABY CHIROPRACTIC, CORP
Active
Other names
Tustin Chiropractic Offices
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE E HUCKABY D.C. (CHIROPRACTOR)
(714) 953-5433
Entity
Organization
Contact information
Practice address
2040 N TUSTIN AVE, SUITE B, SANTA ANA, CA 92705-7827
(714) 953-5433
(714) 543-3868
Mailing address
2040 N TUSTIN AVE, SUITE B, SANTA ANA, CA 92705-7827
(714) 953-5433
(714) 543-3868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ11834Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
02/01/2007
Last updated
08/22/2020
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