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NPI Code Detail

MEDICARE: DR. NELSON SANTOS CHIROPRACTIC, INC.

MEDICARE: DR. NELSON SANTOS CHIROPRACTIC, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1457002396
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. NELSON SANTOS CHIROPRACTIC, INC.
Provider Business Mailing Address
First Line : 100 W HIGH ST # 748
Second Line :
City : MOORPARK
State : CA
Zip : 93021-1113
Country : US
Telephone Number : 805-531-1188
Fax Number : 805-531-1112
Provider Business Practice Location Address
First Line : 530 NEW LOS ANGELES AVE STE 210
Second Line :
City : MOORPARK
State : CA
Zip : 93021-2089
Country : US
Telephone Number : 805-531-1188
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NELSON SANTOS
Credential : DC
Telephone Number : 310-621-8224
Provider Enumeration Date : 01/12/2022
Last Update Date : 01/12/2022

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Directions to “DR. NELSON SANTOS CHIROPRACTIC, INC. ” Practice Location

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