DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COSTA CHIROPRACTIC CORPORATION

Active Organization

Chiropractor · SAN CLEMENTE, CA

Registration Details

NPI Number
1053748533
Provider Type
Organization
NPI Issued
Sep 30, 2013 (12.598511991876 yrs)
Last Updated
Sep 7, 2016
License
DC29364 (CA)

Practice Information

Address
181 AVENIDA VAQUERO
STE D
SAN CLEMENTE, CA, 926723600
Browse CA providers · Browse ZIP 92672
Phone
9492184750
Fax
9492767393
Primary Specialty
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.