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Organization
THE HEAD, NECK, BACK PAIN CENTER
Active
Organization
THE HEAD, NECK, BACK PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY CLARK (BILLING REPRESENTATIVE)
(760) 749-7414
Entity
Organization
Contact information
Practice address
10529 SLATER AVE, FOUNTAIN VALLEY, CA 92708-4841
(714) 965-9999
Mailing address
10529 SLATER AVE, FOUNTAIN VALLEY, CA 92708-4841
(714) 965-9999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0228350
CA
Other
Enumeration date
06/20/2007
Last updated
08/22/2020
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