Organization
DONALD BAUNE CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JERRY BAUNE D.C. (PRESIDENT/OWNER/PROVIDER)
(310) 325-6210
Entity
Organization
Contact information
Practice address
25409 NARBONNE AVE, LOMITA, CA 90717-2125
(310) 325-6210
(310) 530-1913
Mailing address
25409 NARBONNE AVE, LOMITA, CA 90717-2125
(310) 325-6210
(310) 530-1913
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
DC13277
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861507204
INDIVIDUAL NPI
CA
01
—
CV133A
GROUP PTAN
CA
01
—
CV134Z
INDIVIDUAL PTAN
CA
01
—
DC0132770
BLUE SHIELD
CA
01
—
DC13277
CHIROPRACTIC LICENSE
CA
Enumeration date
01/07/2010
Last updated
12/02/2011
Update your record
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