Individual
DR. AUGUSTINE LOUIS NIETO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4200 TRABUCO RD, SUITE 180, IRVINE, CA 92620-3600
(949) 552-1172
(949) 552-8172
Mailing address
4200 TRABUCO RD, SUITE 180, IRVINE, CA 92620-3600
(949) 552-1172
(949) 552-8172
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC33247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC33247
STATE OF CALIFORNIA BOARD OF CHIROPRACTIC EXAMINERS
CA
Enumeration date
03/30/2015
Last updated
03/30/2015
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