MEDICARE: VICTORY CHIROPRACTIC VELEAS 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	DC27555	CA

General Provider Information

NPI Number	:	1285964858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTORY CHIROPRACTIC VELEAS INC

Provider Business Mailing Address
First Line	:	62 POTTERS BND
Second Line	:
City	:	LADERA RANCH
State	:	CA
Zip	:	92694-0907
Country	:	US
Telephone Number	:	949-716-4141
Fax Number	:	949-831-1762

Provider Business Practice Location Address
First Line	:	27401 LOS ALTOS STE 485
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-8534
Country	:	US
Telephone Number	:	949-716-4141
Fax Number	:	949-831-1762

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DARIUS VELEAS
Credential	:	D.C.
Telephone Number	:	949-716-4141

Provider Enumeration Date	:	01/05/2010
Last Update Date	:	01/05/2010

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