Costa Chiropractic Corporation

NPI #1053748533 in San Clemente, California

Provider Information

NPI Number: 1053748533
Entity Type: Organization
Organization Name: Costa Chiropractic Corporation
Primary Specialty: Chiropractor
Enumeration Date: Sep 30, 2013
Last Updated: Sep 7, 2016

Practice Location

Address: 181 AVENIDA VAQUERO
Address 2: STE D
City: San Clemente
State: California
ZIP Code: 92672-3600
Phone: (949) 218-4750

Authorized Official

Name: DR. CYNTHIA JAYNE ELIZABETH COSTA, D.C.
Title: CHIROPRATOR/OWNER
Phone: (949) 637-1668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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