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Casto Chiropractic Inc
Chiropractor in South Lake Tahoe, California
NPI 1629219126

Casto Chiropractic Inc is a Chiropractor based in Irvine, CA. Casto Chiropractic Inc practices in South Lake Tahoe, CA. The NPI Number for Casto Chiropractic Inc is 1629219126 and holds a License No. DC28482 (California).

The current practice location address for Casto Chiropractic Inc is 1156 Emerald Bay Rd, South Lake Tahoe, CA and can be reached out via phone at 530-543-1201 and via fax at 530-543-1322.

Location: 1156 Emerald Bay Rd, South Lake Tahoe, CA, 92618-6705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629219126
Provider Name
Casto Chiropractic Inc
Credential
Provider Entity Type
Organization
Address
1156 Emerald Bay Rd, South Lake Tahoe, CA, 92618-6705
Phone Number
530-543-1201
Fax Number
530-543-1322
Provider Enumeration Date
03/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC28482 01 CA CHIROPRACTIC LICENSE
ZZZ53912Y 01 CA BLUE SHIELD
DA009Z 01 CA INDIVIDUAL PTAN
1427145911 01 CA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1156 Emerald Bay Rd
City
South Lake Tahoe
State
California
Zip
96150-6157
Phone Number
530-543-1201
Fax Number
530-543-1322
person
Provider Business Mailing Address Details
Address
1156 Emerald Bay Rd
City
South Lake Tahoe
State
California
Zip
96150-6157
Phone Number
530-543-1201
Fax Number
530-543-1322
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC28482 (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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