Organization
DELAIRE CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JOHN DELAIRE DC (PRESIDENT)
(760) 320-4123
Entity
Organization
Contact information
Practice address
27620 LANDAU BLVD, STE. 1, CATHEDRAL CITY, CA 92234-5540
(760) 320-4123
(760) 320-0801
Mailing address
27620 LANDAU BLVD, STE. 1, CATHEDRAL CITY, CA 92234-5540
(760) 320-4123
(760) 320-0801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC21666
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DCO216660
MEDICARE
—
Enumeration date
11/17/2015
Last updated
11/17/2015
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