Organization
COASTLINE CHIROPRACTIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ESCOBAR D.C. (DOCTOR/OWNER)
(818) 718-1975
Entity
Organization
Contact information
Practice address
9535 RESEDA BLVD STE 301, NORTHRIDGE, CA 91324-6031
(818) 718-1975
Mailing address
9535 RESEDA BLVD STE 301, NORTHRIDGE, CA 91324-6031
(818) 718-1975
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25135
CA
Other
Enumeration date
03/30/2010
Last updated
01/04/2011
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