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

BLUE WATER COASTAL, LLC

Active Organization

BLUE WATER COASTAL, LLC is a Chiropractor organization located in CARLSBAD, California. NPI 1063764686 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · CARLSBAD, CA

Registration Details

NPI Number
1063764686
Provider Type
Organization
NPI Issued
Oct 5, 2012 (13.849887137288 yrs)
Last Updated
Oct 5, 2012
License
DC29910 (CA)

Practice Information

Address
785 GRAND AVE
#100
CARLSBAD, CA, 920082370
Browse CA providers · Browse ZIP 92008
Phone
7607293200
Fax
7607293201
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.