Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC27297 | CA |
NPI | 1003041179 |
---|---|
Provider Name | Dr. Sean J Strelec |
First Address | Dana Point, CA 92629-2238 |
Second Address | Mission Viejo, CA 92691-2724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2009 |
Last Update Date | 19/05/2009 |