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Organization
THOMAS A DEMOSS, CHIROPRACTIC INC
Active
Organization
THOMAS A DEMOSS, CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A DEMOSS DC (CHIROPRACTOR)
(949) 364-1901
Entity
Organization
Contact information
Practice address
27652 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6522
(949) 364-1901
Mailing address
27652 CROWN VALLEY PKWY, MISSION VIEJO, CA 92691-6522
(949) 364-1901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC19353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC19353
MEDICARE PTAN
CA
Enumeration date
10/02/2012
Last updated
10/02/2012
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