Organization
CASABLANCA WELLNESS CENTER INC.
Active
Other names
CASABLANCA WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
BRISEYDA VALENCIA (OFFICER)
(562) 233-0708
Entity
Organization
Contact information
Practice address
12115 PARAMOUNT BLVD, DOWNEY, CA 90242-2309
(562) 233-0708
Mailing address
12115 PARAMOUNT BLVD, DOWNEY, CA 90242-2309
(562) 233-0708
(562) 741-0343
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1598971673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC 28844
CHIROPRACTOR
CA
Enumeration date
11/27/2012
Last updated
11/27/2012
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