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Organization

PRUSS CHIROPRACTIC CORPROATION

Active
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Organization

PRUSS CHIROPRACTIC CORPROATION

Active
Other names
Back Pain Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID PRUSS DC (OWNER)
(248) 703-1139
Entity
Organization

Contact information

Practice address
532 REDONDO AVE, LONG BEACH, CA 90814-1552
(562) 439-0419
Mailing address
19141 SUMMERWOOD CIR, HUNTINGTON BEACH, CA 92648-6608
(248) 703-1139

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33922
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33922
CHIROPRACTIC LICENSE
CA
Enumeration date
10/01/2017
Last updated
10/01/2017
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