# MY CENTER FOR CHIROPRACTIC & ANTI-AGING MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992979538
- **Authorized official:** DAVID C MANAGO DC (PRESIDENT)
- **Authorized official phone:** (949) 364-5656

## Contact information

- **Practice address:** 26990 CROWN VALLEY PKWY, SUITE C, MISSION VIEJO, CA 92691-6548
- **Practice address phone:** (949) 364-5656
- **Mailing address:** 26990 CROWN VALLEY PKWY, SUITE C, MISSION VIEJO, CA 92691-6548
- **Mailing address phone:** (949) 364-5656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC14686 | CA | — |
| 208D00000X | General Practice Physician | A60570 | CA | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 12/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00A605700 | BCBS | CA |
| 01 | — | DC0146860 | BCBS | CA |