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Organization

AZEVEDO CHIROPRACTIC, A PROFESSIONAL CORPORATION

Active
Other names
Core Care
Organization subpart
No

Provider details

NPI number
Authorized official
KIRK J. AZEVEDO D.C. (PRESIDENT /CEO)
(805) 927-1055
Entity
Organization

Contact information

Practice address
4070 WEST ST, CAMBRIA, CA 93428-3023
(805) 927-1055
(805) 927-1701
Mailing address
4070 WEST ST, CAMBRIA, CA 93428-3023
(805) 927-1055
(805) 927-1701

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC27895
CA
171100000X
Acupuncturist
AC12352
CA
225100000X
Physical Therapist
PT29969
CA
225100000X
Physical Therapist
Primary
PT35580
CA

Other

Enumeration date
10/27/2006
Last updated
11/06/2009
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