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Organization
MY CENTER FOR CHIROPRACTIC & ANTI-AGING MEDICINE INC
Active
Organization
MY CENTER FOR CHIROPRACTIC & ANTI-AGING MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C MANAGO DC (PRESIDENT)
(949) 364-5656
Entity
Organization
Contact information
Practice address
26990 CROWN VALLEY PKWY, SUITE C, MISSION VIEJO, CA 92691-6548
(949) 364-5656
Mailing address
26990 CROWN VALLEY PKWY, SUITE C, MISSION VIEJO, CA 92691-6548
(949) 364-5656
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC14686
CA
208D00000X
General Practice Physician
Primary
A60570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A605700
BCBS
CA
01
—
DC0146860
BCBS
CA
Enumeration date
04/15/2008
Last updated
12/03/2008
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