Organization
COSTA CHIROPRACTIC CORPORATION
Active
Other names
Costa Lifestlye Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA JAYNE ELIZABETH COSTA D.C. (CHIROPRATOR/OWNER)
(949) 637-1668
Entity
Organization
Contact information
Practice address
181 AVENIDA VAQUERO, STE D, SAN CLEMENTE, CA 92672-3600
(949) 218-4750
(949) 276-7393
Mailing address
181 AVENIDA VAQUERO, STE D, SAN CLEMENTE, CA 92672-3600
(949) 218-4750
(949) 276-7393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29364
CA
Other
Enumeration date
09/30/2013
Last updated
09/07/2016
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