Organization
NICHOLAS BROCK CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CARMEN BROCK DC (PRESIDENT)
(805) 637-8565
Entity
Organization
Contact information
Practice address
1625 E THOUSAND OAKS BLVD, SUITE E, THOUSAND OAKS, CA 91362-2823
(805) 496-4469
Mailing address
1625 E THOUSAND OAKS BLVD, SUITE E, THOUSAND OAKS, CA 91362-2823
(805) 496-4469
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DC32547
CA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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