Organization
AGNELLI CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN AGNELLI D.C. (PRESIDENT)
(714) 669-0399
Entity
Organization
Contact information
Practice address
1254 IRVINE BLVD, STE 150, TUSTIN, CA 92780-3509
(714) 669-0399
Mailing address
1254 IRVINE BLVD, STE 150, TUSTIN, CA 92780-3509
(714) 669-0399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC30882
CA
Other
Enumeration date
06/19/2007
Last updated
10/09/2015
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