Organization
DIGRADO, NEWPORT CENTER FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES DIGRADO D.C. (CHIROPRACTOR)
(949) 640-1470
Entity
Organization
Contact information
Practice address
359 SAN MIGUEL DR STE 203, NEWPORT BEACH, CA 92660-7808
(949) 640-1470
(949) 640-1472
Mailing address
359 SAN MIGUEL DR STE 203, NEWPORT BEACH, CA 92660-7808
(949) 640-1470
(949) 640-1472
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28885
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679729552
NATIONAL PROVIDER IDENTIFICATION NUMBER
CA
Enumeration date
08/22/2012
Last updated
08/22/2012
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