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NPI 1396684767

NPI 1396684767 : DELYN MOUA DC : SOUTH GATE, CA

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General NPI Number Information
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    NPI Number           |    1396684767
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    Entity Type          |    Individual 
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    Provider Name        |    DELYN MOUA DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/27/2026
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    Last Update Date     |    03/27/2026
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Provider Practice Location Address
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    Address Line         |    4753 FIRESTONE BLVD 
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    City                 |    SOUTH GATE
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    State                |    CA
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    Zip                  |    90280-3448
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    Country              |    US
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    Telephone            |    323-310-2217
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16434 WHITTIER BLVD UNIT 1 
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    City                 |    WHITTIER
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    State                |    CA
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    Zip                  |    90603-2465
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    DC37394
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    License Number State |    CA
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