MEDICARE: PHILIPSON CHIROPRACTIC CORPORATION

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1174788046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILIPSON CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	17610 BEACH BLVD STE 41
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-6845
Country	:	US
Telephone Number	:	714-907-0086
Fax Number	:

Provider Business Practice Location Address
First Line	:	17610 BEACH BLVD STE 41
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-6845
Country	:	US
Telephone Number	:	714-907-0086
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID PHILIPSON
Credential	:	D.C.
Telephone Number	:	714-907-0086

Provider Enumeration Date	:	07/21/2008
Last Update Date	:	07/21/2008

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