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REVIVE CHIROPRACTIC GROUP INC NPI 1255967758


NPI Information

NPI: 1255967758
Provider Name: REVIVE CHIROPRACTIC GROUP, INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
10530 KNOTT AVE
STANTON, CA
ZIP 90680
Phone: (714) 406-2092
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REVIVE CHIROPRACTIC GROUP, INC is a chiropractor in Stanton, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. REVIVE CHIROPRACTIC GROUP, INC NPI is 1255967758. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10530 KNOTT AVE
STANTON, CA
ZIP 90680-915
Phone: (714) 406-2092
Fax: (714) 839-8145

The provider's authorized official is William Vy .
The authorized official title is Tresurer and has the following contact phone number (714) 495-1100.

The enumeration date for this NPI number is 3/16/2020 and was last updated on 11/9/2021.


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 License Number License State Primary
1111N00000XChiropractorYes

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

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