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CORINNE ETHEL DADIVAS NPI 1871942334


NPI Information

NPI: 1871942334
Provider Name: CORINNE ETHEL DADIVAS

Former Legal Business Name: NEWPORT BEACH WELLNESS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1501 WESTCLIFF DR
SUITE 303
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 764-9102
Get Directions

CORINNE ETHEL DADIVAS is a chiropractor in Newport Beach, 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. CORINNE ETHEL DADIVAS NPI is 1871942334. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Newport Beach Wellness.

The provider's business location address is:

1501 WESTCLIFF DR
SUITE 303
NEWPORT BEACH, CA
ZIP 92660-517
Phone: (949) 764-9102
Fax: (949) 764-1743

The provider's authorized official is Corinne Ethel Dadivas .
The authorized official title is Chiropractor/owner and has the following contact phone number (714) 686-9704.

The enumeration date for this NPI number is 6/6/2016 and was last updated on 6/6/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC29415CALIFORNIAYes

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: 4/28/2024

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