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Organization
MOSSUTO CHIROPRACTIC CORPORATION
Active
Organization
MOSSUTO CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MOSSUTO DC (PRESIDENT)
(619) 294-9342
Entity
Organization
Contact information
Practice address
7540 METROPOLITAN DR, SUITE 109, SAN DIEGO, CA 92108-4499
(619) 294-9342
Mailing address
7540 METROPOLITAN DR, SUITE 109, SAN DIEGO, CA 92108-4499
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC23070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC23070
MEDICARE PTAN
CA
Enumeration date
02/03/2014
Last updated
02/03/2014
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