Organization
CONNOR UPPER CERVICAL CHIRO OF SO CAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON CONNOR (OWNER)
(949) 642-5660
Entity
Organization
Contact information
Practice address
485 E 17TH ST, 510, COSTA MESA, CA 92627-3265
(949) 642-5660
Mailing address
485 E 17TH ST, 510, COSTA MESA, CA 92627-3265
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
08/18/2016
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