Organization
KEN CASSORLA CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LOUIS CASSORLA D.C. (PRESIDENT)
(831) 462-3400
Entity
Organization
Contact information
Practice address
3811 PORTOLA DR, SANTA CRUZ, CA 95062-5232
(831) 462-3400
(831) 475-1122
Mailing address
3811 PORTOLA DR, SANTA CRUZ, CA 95062-5232
(831) 462-3400
(831) 475-1122
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
13971
CA
Other
Enumeration date
02/08/2008
Last updated
04/23/2008
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