MEDICARE: ATLANTIC PHYSICAL REHAB CENTER, CAVE & BELTRAN 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
1	111N00000X	Chiropractor	DC29613	CA

General Provider Information

NPI Number	:	1184835902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC PHYSICAL REHAB CENTER, CAVE & BELTRAN CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	2530 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2741
Country	:	US
Telephone Number	:	562-988-3626
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2741
Country	:	US
Telephone Number	:	562-988-3626
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	DR. AGATHA MAE BELTRAN
Credential	:	D.C.
Telephone Number	:	562-988-3626

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/22/2020

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