Organization
ALPHA SPORT AND PERFORMANCE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN HACK DC (OWNER)
(949) 557-7208
Entity
Organization
Contact information
Practice address
333 E 17TH ST STE 15, COSTA MESA, CA 92627-3220
(949) 557-7208
Mailing address
1324 W BALBOA BLVD APT A, NEWPORT BEACH, CA 92661-1072
(218) 349-9751
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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