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BLUMHARDT FAMILY CHIROPRACTIC PC NPI 1184819211


NPI Information

NPI: 1184819211
Provider Name: BLUMHARDT FAMILY CHIROPRACTIC, PC

Doing Business As: FOUNTAIN OF LIFE CHIROSTUDIO

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
14081 YORBA ST
SUITE 106
TUSTIN, CA
ZIP 92780
Phone: (714) 665-9355
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BLUMHARDT FAMILY CHIROPRACTIC, PC is a chiropractor in Tustin, CA. The provider is 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. BLUMHARDT FAMILY CHIROPRACTIC, PC NPI is 1184819211. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fountain Of Life Chirostudio.

The provider's business location address is:

14081 YORBA ST
SUITE 106
TUSTIN, CA
ZIP 92780-010
Phone: (714) 665-9355
Fax: (866) 265-6179

The provider's authorized official is Shannon Blumhardt .
The authorized official title is President/chiropractor and has the following contact phone number (714) 665-9355.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 9/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor30606CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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