Organization
COPPOLA CHIROPRACTIC INC.
Active
Organization
COPPOLA CHIROPRACTIC INC.
Active
Other names
Active Life Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANTHONY COPPOLA JR. D.C. (PRESIDENT)
(949) 487-1231
Entity
Organization
Contact information
Practice address
380 CAMINO DE ESTRELLA, SAN CLEMENTE, CA 92672-4859
(949) 487-1231
Mailing address
380 CAMINO DE ESTRELLA, SAN CLEMENTE, CA 92672-4859
(949) 487-1231
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DC 30393
CA
Other
Enumeration date
01/03/2009
Last updated
03/01/2012
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