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NPI Code Detail

MEDICARE: POLLACK CHIROPRACTIC GROUP, INC

MEDICARE: POLLACK CHIROPRACTIC GROUP, 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1669701678
Entity Type Code : Organization
Provider Name (Legal Business Name) : POLLACK CHIROPRACTIC GROUP, INC
Provider Business Mailing Address
First Line : 4121 WESTERLY PL
Second Line : SUITE 116
City : NEWPORT BEACH
State : CA
Zip : 92660-2322
Country : US
Telephone Number : 949-721-0606
Fax Number : 949-945-1425
Provider Business Practice Location Address
First Line : 4121 WESTERLY PL
Second Line : SUITE 116
City : NEWPORT BEACH
State : CA
Zip : 92660-2322
Country : US
Telephone Number : 949-721-0606
Fax Number : 949-945-1425
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARK POLLACK
Credential : D.C.
Telephone Number : 949-721-0606
Provider Enumeration Date : 12/22/2009
Last Update Date : 12/22/2009

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Directions to “POLLACK CHIROPRACTIC GROUP, INC ” Practice Location

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