Organization
ENVISTA MEDICAL NECK AND BACK CENTER, P.C.
Active
Parent organization
ENVISTA MEDICAL NECK & BACK CENTER, P.C.
Other names
Envista Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENVISTA MEDICAL NECK & BACK CENTER, P.C.
Authorized official
CHERYL ANDERS (SECRETARY)
(661) 587-0700
Entity
Organization
Contact information
Practice address
4029 WESTERLY PL, NEWPORT BEACH, CA 92660-2318
(661) 587-0700
Mailing address
3900 COFFEE RD STE 3, BAKERSFIELD, CA 93308-5050
(661) 587-0700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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