Organization
A PROFESSIONAL CHIROPRACTIC CORP.
Active
Other names
Advanced Back and Neck Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN FREDERICK VON BORSTEL III D.C. (CHIROPRACTOR)
(562) 866-3340
Entity
Organization
Contact information
Practice address
5220 CLARK AVE., SUITE 445, LAKEWOOD, CA 90712
(562) 866-3340
(562) 804-0499
Mailing address
5220 CLARK AVE., SUITE 445, LAKEWOOD, CA 90712
(562) 866-3340
(562) 804-0499
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15417
CA
Other
Enumeration date
04/10/2007
Last updated
06/13/2008
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