Organization
CHIROREHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMIEN JOHANN BURGESS DC (CHIROPRACTOR/OWNER)
(949) 631-6432
Entity
Organization
Contact information
Practice address
425 OLD NEWPORT BLVD, SUITE D, NEWPORT BEACH, CA 92663-4250
(949) 631-6432
(949) 258-5858
Mailing address
425 OLD NEWPORT BLVD, SUITE D, NEWPORT BEACH, CA 92663-4250
(949) 631-6432
(949) 258-5858
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
31139
CA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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