Organization
DR. SHANE SCOTT, SC CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE MARK SCOTT DC, (PRESIDENT)
(714) 585-3000
Entity
Organization
Contact information
Practice address
13071 BROOKHURST ST STE 110, GARDEN GROVE, CA 92843-1047
(714) 839-8144
(714) 908-2328
Mailing address
13071 BROOKHURST ST STE 110, GARDEN GROVE, CA 92843-1047
(714) 839-8144
(714) 908-2328
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24217
BOARD OF CHIROPRACTIC EXAMINERS
CA
Enumeration date
05/21/2024
Last updated
09/03/2024
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