Organization
RUSSO CHIROPRACTIC CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHEAL RUSSO D.C. QME (PRESIDENT)
(714) 534-5712
Entity
Organization
Contact information
Practice address
12362 EUCLID ST, GARDEN GROVE, CA 92840-3308
(714) 534-5712
(714) 882-7371
Mailing address
12362 EUCLID ST, GARDEN GROVE, CA 92840-3308
(714) 534-5712
(714) 882-7371
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
22452
CA
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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