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Organization

BEAUMONT CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DELPHINE V SHORT DC (CHIROPRACTOR-OWNER)
(951) 845-1177
Entity
Organization

Contact information

Practice address
890 BEAUMONT AVE, BEAUMONT, CA 92223-5937
(951) 845-1177
(951) 845-5543
Mailing address
890 BEAUMONT AVE, BEAUMONT, CA 92223-5937
(951) 845-1177
(951) 845-5543

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0084170
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
156853786
NPI
CA
Enumeration date
05/30/2007
Last updated
07/28/2008
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