BRANDON ANTONISSEN

INTECORE, INC

Dr BRANDON ANTONISSEN is a male medical professional, specializing in Chiropractic. He graduated in 2018 from Los Angeles College Of Chiropractic.

Contact

INTECORE, INC

5 JOURNEY
SUITE 100
ALISO VIEJO
CA
926565330

Tel: 9497164548

BRANDON ANTONISSEN Information

Npi 1063991354
Pac Id 3678824067
Professional Enrollment Id I20180925000110
Last Name ANTONISSEN
First Name BRANDON
Middle Name
Suffix
Gender M
Credential
Medical School Name LOS ANGELES COLLEGE OF CHIROPRACTIC
Graduation Year 2018
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INTECORE, INC
Group Practice Pac Id 2769588698
Number Of Group Practice Members 2
Line 1 Street Address 5 JOURNEY
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City ALISO VIEJO
State CA
Zip Code 926565330
Phone Number 9497164548
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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