Organization
FRYE CHIROPRACTIC, INC
Active
Other names
Antelope Valley Spinal Care Medical Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY ENGEL (ADMINISTRATOR)
(661) 949-9655
Entity
Organization
Contact information
Practice address
42283 10TH ST W, SUITE 107, LANCASTER, CA 93534-7073
(661) 949-9655
Mailing address
42283 10TH ST W, SUITE 107, LANCASTER, CA 93534-7073
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W15049
MEDICARE GROUP
CA
Enumeration date
07/11/2006
Last updated
11/07/2017
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