OrganizationActive
Russo Chiropractic Corp.
NPI 1164623864 · Independent Medical Examiner Chiropractor · Garden Grove, CA
Provider details
- NPI number
- 1164623864
- Entity type
- Organization
- Primary specialty
- Independent Medical Examiner ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Micheal Russo, President(714) 534-5712
- License
- 22452 (CA)
Specialties & taxonomies
Chiropractic Providers
Practice location
12362 Euclid St
Garden Grove, CA 92840-3308
Phone: (714) 534-5712
Fax: (714) 882-7371
Approximate (ZIP-level) locationGet directions
Mailing address
12362 Euclid St
Garden Grove, CA 92840-3308
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.