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NPI Code Detail

MEDICARE: DIEGO ANDRES BIGNONE

MEDICARE:   DIEGO ANDRES BIGNONE
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
1111N00000XChiropractor34888CA

General Provider Information

NPI Number : 1881202760
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIEGO ANDRES BIGNONE
Provider Business Mailing Address
First Line : 27701 PALOS VERDES DR E
Second Line :
City : RANCHO PALOS VERDES
State : CA
Zip : 90275-5148
Country : US
Telephone Number : 310-629-6695
Fax Number :
Provider Business Practice Location Address
First Line : 1218 HIGHLAND AVE
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-4718
Country : US
Telephone Number : 310-545-4188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2020
Last Update Date : 07/16/2020

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Directions to “ DIEGO ANDRES BIGNONE ” Practice Location

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