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Dr. Gavin Lester Grant, DC
Chiropractor in Newport Beach, California
NPI 1568446615

Gavin Lester Grant is a Chiropractor based in Newport Beach, CA. Gavin Lester Grant practices in Newport Beach, CA and has the professional credentials of DC. The NPI Number for Gavin Lester Grant is 1568446615 and holds a License No. DC24812 (California).

The current practice location address for Gavin Lester Grant is 1400 Bristol St N, Newport Beach, CA and can be reached out via phone at 949-851-5119 and via fax at 949-851-6269.

Location: 1400 Bristol St N, Newport Beach, CA, 92660-2911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568446615
Provider Name
Gavin Lester Grant
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1400 Bristol St N, Newport Beach, CA, 92660-2911
Phone Number
949-851-5119
Fax Number
949-851-6269
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC024812 01 CA BLUE SHIELD PROVIDER
institution
Provider Business Practice Location Address Details
Address
1400 Bristol St N
City
Newport Beach
State
California
Zip
92660-2911
Phone Number
949-851-5119
Fax Number
949-851-6269
person
Provider Business Mailing Address Details
Address
1400 Bristol St N
City
Newport Beach
State
California
Zip
92660-2911
Phone Number
949-851-5119
Fax Number
949-851-6269
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC24812 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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