PAUL S STATELY D C INC NPI 1992013882

NPI Information

PAUL S STATELY D C INC is a chiropractor in Costa Mesa, 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. PAUL S STATELY D C INC NPI is 1992013882. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

275 VICTORIA ST
SUITE 2C
COSTA MESA, CA
ZIP 92627-906
Phone: (949) 645-6325
Fax: (949) 645-6322

The provider's authorized official is Paul S Stately .
The authorized official title is Owner and has the following contact phone number (949) 645-6325.

The enumeration date for this NPI number is 9/14/2010 and was last updated on 9/17/2010.

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:

Other Identifiers

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