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NPI Code Detail

MEDICARE: BAEKS CHIROPRACTIC HEALTH CENTER

MEDICARE: BAEKS CHIROPRACTIC HEALTH CENTER
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
1171100000XAcupuncturistAC9447CA
2111NS0005XSports Physician ChiropractorDC27581CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11962583633OTHERCANPI
21962512137OTHERCANPI

General Provider Information

NPI Number : 1508036625
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAEKS CHIROPRACTIC HEALTH CENTER
Provider Business Mailing Address
First Line : 13801 ROSWELL AVE
Second Line : SUITE G
City : CHINO
State : CA
Zip : 91710-5466
Country : US
Telephone Number : 909-548-6868
Fax Number : 909-548-6855
Provider Business Practice Location Address
First Line : 13801 ROSWELL AVE
Second Line : SUITE G
City : CHINO
State : CA
Zip : 91710-5466
Country : US
Telephone Number : 909-548-6868
Fax Number : 909-548-6855
Authorized Official
Title or Position : CHIROPRACTOR/OWNER
Name : DR. ALEX S BAEK
Credential : D.C.
Telephone Number : 909-548-6868
Provider Enumeration Date : 03/04/2008
Last Update Date : 03/04/2008

Similar Medicare Providers

1841303229 — MARTIN CHIROPRACTIC
Practice Location Address:
13801 ROSWELL AVE STE F
CHINO, CA
91710-5466
Practice Phone: 909-591-2525
Practice Fax: 909-464-9797
1962512137 — DR. ALEX S. BAEK D.C.
Practice Location Address:
13801 ROSWELL AVE , STE. G
CHINO, CA
91710-5466
Practice Phone: 909-548-6868
Practice Fax:
1962583633 — DR. CHA MI KIM L. AC
Practice Location Address:
13801 ROSWELL AVE , SUITE G
CHINO, CA
91710-5466
Practice Phone: 909-548-6868
Practice Fax:
1255571857 — DR. TONY TANG DC
Practice Location Address:
13801 ROSWELL AVE , SUITE G
CHINO, CA
91710-5466
Practice Phone: 909-548-6868
Practice Fax: 909-548-6855
1215267380 — DR. DAVID LUGENE MARTIN D.C.
Practice Location Address:
13801 ROSWELL AVE STE F
CHINO, CA
91710-5466
Practice Phone: 909-591-2525
Practice Fax: 909-464-9797
1538417597 — BAEK'S CHIROPRACTIC HEALTH CENTER, INC
Practice Location Address:
13801 ROSWELL AVE , STE. G
CHINO, CA
91710-5466
Practice Phone: 909-548-6868
Practice Fax: 909-548-6868

Directions to “BAEKS CHIROPRACTIC HEALTH CENTER ” Practice Location

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