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Organization
SPORTSLAB SOCAL DR. JC ZEGARRA CHIROPRACTIC PC
Active
Organization
SPORTSLAB SOCAL DR. JC ZEGARRA CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN CARLO ZEGARRA D.C. (PRESIDENT)
(787) 234-8371
Entity
Organization
Contact information
Practice address
74 ICON, FOOTHILL RANCH, CA 92610-3000
(949) 390-9209
(949) 271-4671
Mailing address
74 ICON, FOOTHILL RANCH, CA 92610-3000
(949) 390-9209
(949) 271-4671
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
32913
CA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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