Organization
SPORTS AND FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY BRADFORD WRIGHT D.C. (CEO PRESIDENT)
(714) 956-2225
Entity
Organization
Contact information
Practice address
1842 W LINCOLN AVE, SUITE F, ANAHEIM, CA 92801-5426
(714) 956-2225
(714) 956-5350
Mailing address
1842 W LINCOLN AVE, SUITE F, ANAHEIM, CA 92801-5426
(714) 956-2225
(714) 956-5350
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC023059
STATE LICENSE
CA
01
—
DC0230590
SERVICE LINE PIN
CA
05
—
DC0230590
—
CA
Enumeration date
02/19/2007
Last updated
07/21/2022
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