MEDICARE: DR. DEEANN NASON DC

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	20329	CA

General Provider Information

NPI Number	:	1194924167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEEANN NASON DC

Provider Business Mailing Address
First Line	:	5612 SPA DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-2025
Country	:	US
Telephone Number	:	818-247-4766
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 W GLENOAKS BLVD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-2204
Country	:	US
Telephone Number	:	818-247-4766
Fax Number	:	818-247-5874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	12/19/2023

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