Organization
BLOOM FAMILY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA L GUTA DC (CLINIC DIRECTOR)
(760) 747-4737
Entity
Organization
Contact information
Practice address
633 E GRAND AVE, ESCONDIDO, CA 92025-4402
(760) 747-4737
(760) 747-9905
Mailing address
633 E GRAND AVE, ESCONDIDO, CA 92025-4402
(760) 747-4737
(760) 747-9905
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC20522
CA
111NR0400X
Rehabilitation Chiropractor
DC21341
CA
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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