Health Source Chiropractic

LBN: Costantino Chiropractic Corporation
Health Source Chiropractic is an health care organization with primary practice located at 1100 Pacific Coast Hwy Suite A, Hermosa Beach CA 90254-3951. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Costantino Chiropractic Corporation can be contacted via phone (310) 798-3227, or through Costantino, Matthew David via phone (310) 798-3227.

Contact Information

Primary practice address
1100 Pacific Coast Hwy Suite A Hermosa Beach CA 90254-3951
Fax: (310) 798-3229
Website:
Authorized official contact:
Name: Costantino, Matthew David Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 21279 California

Profile Details

NPI number 1073871547
LBN Legal business name Costantino Chiropractic Corporation
DBA Doing business as Health Source Chiropractic
Authorized official Costantino, Matthew David Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2012
Last updated May 2nd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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