Organization
ACOSTA CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REY DAVID ACOSTA D.C. (OWNER)
(951) 354-6294
Entity
Organization
Contact information
Practice address
11498 PIERCE ST, STE #B, RIVERSIDE, CA 92505-3357
(951) 354-6294
(951) 354-6295
Mailing address
11498 PIERCE ST, STE #B, RIVERSIDE, CA 92505-3357
(951) 354-6294
(951) 354-6295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC30073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC30073
STATE LICENSE
CA
Enumeration date
03/03/2009
Last updated
03/03/2009
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