Organization
COASTLINE THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ESCOBAR DC (OWNER)
(818) 718-1975
Entity
Organization
Contact information
Practice address
9535 RESEDA BLVD, SUITE 301, NORTHRIDGE, CA 91324-2310
(818) 718-1975
(818) 718-2259
Mailing address
9535 RESEDA BLVD, SUITE 301, NORTHRIDGE, CA 91324-2310
(818) 718-1975
(818) 718-2259
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC25135
CA
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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