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Organization
SMITH-TEITELBAUM CHIROPRACTIC INC.
Active
Organization
SMITH-TEITELBAUM CHIROPRACTIC INC.
Active
Other names
Teitelbaum Chiropractic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN TEITELBAUM D.C. (PRESIDENT)
(949) 215-4500
Entity
Organization
Contact information
Practice address
26440 LA ALAMEDA, SUITE 310, MISSION VIEJO, CA 92691
(949) 215-4500
(949) 348-2396
Mailing address
26440 LA ALAMEDA, SUITE 310, MISSION VIEJO, CA 92691
(949) 215-4500
(949) 348-2396
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC27875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W19911
MEDICARE PTAN
CA
Enumeration date
03/26/2014
Last updated
06/04/2014
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