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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