Organization
BIRD CHIROPRACTIC CLINICS
Active
Other names
Advanced Wellness & Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL WALTER BIRD D.C. (OWNER / CEO)
(562) 658-7956
Entity
Organization
Contact information
Practice address
8036 3RD, ST., SUITE 103, DOWNEY, CA 90241
(562) 658-7956
(800) 828-9183
Mailing address
8036 3RD, ST., SUITE 103, DOWNEY, CA 90241
(562) 658-7956
(800) 828-9183
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24994
CA
111NX0100X
Occupational Health Chiropractor
DC24994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC24994
MEDICARE PTAN
CA
Enumeration date
10/18/2010
Last updated
10/18/2010
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