ADVANCED INTEGRATIVE MANUAL THERAPY NPI 1891277042

NPI Information

NPI: 1891277042
Provider Name: ADVANCED INTEGRATIVE MANUAL THERAPY
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1532 NEWPORT BLVD
COSTA MESA, CA
ZIP 92627
Phone: (949) 877-6547
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ADVANCED INTEGRATIVE MANUAL THERAPY is a multi-specialty clinic center in Costa Mesa, CA. ADVANCED INTEGRATIVE MANUAL THERAPY NPI is 1891277042. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1532 NEWPORT BLVD
COSTA MESA, CA
ZIP 92627
Phone: (949) 877-6547

The provider's authorized official is William Turk .
The authorized official title is Owner/neuromuscular Therapist and has the following contact phone number (949) 877-6547.

The enumeration date for this NPI number is 9/4/2018 and was last updated on 9/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	174400000X	Specialist		No
2	225700000X	Massage Therapist		No
3	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	53841	OTHER	CALIFORNIA	BUSINESS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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