Organization
BURDI CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE F BURDI D.C. (OWNER)
(949) 770-6922
Entity
Organization
Contact information
Practice address
22762 ASPAN ST, SUITE 200, LAKE FOREST, CA 92630-1604
(949) 770-6922
(949) 770-6923
Mailing address
22762 ASPAN ST, SUITE 200, LAKE FOREST, CA 92630-1604
(949) 770-6922
(949) 770-6923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12621
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0126210
BLUE SHIELD
CA
Enumeration date
03/12/2008
Last updated
03/12/2008
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