Organization
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MIR (CEO)
(949) 940-5132
Entity
Organization
Contact information
Practice address
1100 W TOWN AND COUNTRY RD STE 50A, ORANGE, CA 92868-4600
(949) 940-5132
Mailing address
PO BOX 53486, IRVINE, CA 92619-3486
(949) 940-5132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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