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NPI Code Detail

MEDICARE: DR. JOSEPH MICHAEL MOGRABI D.C

MEDICARE:  DR. JOSEPH MICHAEL MOGRABI  D.C
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
1111N00000XChiropractor32563CA
2111N00000XChiropractor012118NY

General Provider Information

NPI Number : 1093011694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH MICHAEL MOGRABI D.C
Provider Business Mailing Address
First Line : 4810 PARK NEWPORT
Second Line : APT 103
City : NEWPORT BEACH
State : CA
Zip : 92660-6067
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2310 ARTESIA BLVD
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90278-3114
Country : US
Telephone Number : 516-319-4974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2011
Last Update Date : 07/07/2015

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Directions to “ DR. JOSEPH MICHAEL MOGRABI D.C” Practice Location

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