Provider Demographics
NPI:1114660131
Name:ELITE CHIROPRACTIC REHAB & WELLNESS ROSENSTEIN & CRESCI INC.
Entity Type:Organization
Organization Name:ELITE CHIROPRACTIC REHAB & WELLNESS ROSENSTEIN & CRESCI INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESCI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:650-554-0778
Mailing Address - Street 1:15520 ROCKFIELD BLVD #A200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-6705
Mailing Address - Country:US
Mailing Address - Phone:949-598-9999
Mailing Address - Fax:949-598-9990
Practice Address - Street 1:2121 YGNACIO VALLEY RD
Practice Address - Street 2:SUITE F
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3384
Practice Address - Country:US
Practice Address - Phone:650-554-0778
Practice Address - Fax:925-464-7826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty