Organization
SPORTS WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LAWRENCE SHAEVITZ (OWNER)
(714) 692-7138
Entity
Organization
Contact information
Practice address
22222 LA PALMA AVE, YORBA LINDA, CA 92887-3813
(714) 692-7138
(714) 692-7141
Mailing address
22222 LA PALMA AVE, YORBA LINDA, CA 92887-3813
(714) 692-7138
(714) 692-7141
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC23109
CA
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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