Organization
SOUTHERN CALIFORNIA INJURY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ELIZARRARAS (COLLECTOR / BILLER)
(626) 275-4544
Entity
Organization
Contact information
Practice address
14365 PIPELINE AVE, CHINO, CA 91710-5642
(909) 364-8111
Mailing address
14365 PIPELINE AVE, CHINO, CA 91710-5642
(909) 364-8111
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
G41089
CA
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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