Organization
AZEVEDO CHIROPRACTIC CENTER P C
Active
Other names
ADVANCED HEALTH & WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN AZEVEDO DC (OWNER DOCTOR)
(530) 893-9363
Entity
Organization
Contact information
Practice address
676 E 1ST AVE STE 15, CHICO, CA 95926-3547
(530) 893-9363
Mailing address
676 E 1ST AVE STE 15, CHICO, CA 95926-3547
(530) 893-9363
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0225221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0225221
CHIROPRACTIC LICENSE NUMB
CA
01
—
ZZZ66762Z
BLUE SHIELD PROVIDER NUMB
CA
Enumeration date
01/19/2007
Last updated
11/17/2016
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