MEDICARE: DEVIN PAGETT 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

General Provider Information

NPI Number	:	1457193633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEVIN PAGETT CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	5241 LAMPSON AVE
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92845-1953
Country	:	US
Telephone Number	:	714-379-3311
Fax Number	:

Provider Business Practice Location Address
First Line	:	5241 LAMPSON AVE
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92845-1953
Country	:	US
Telephone Number	:	714-379-3311
Fax Number	:

Authorized Official
Title or Position	:	CEO, CFO, SECRETARY
Name	:	DR. DEVIN PAGETT
Credential	:	D.C.
Telephone Number	:	714-379-3311

Provider Enumeration Date	:	06/10/2024
Last Update Date	:	06/10/2024

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