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ORANGE COUNTY MISSION CHIROPRACTIC NPI 1720500408


NPI Information

NPI: 1720500408
Provider Name: ORANGE COUNTY MISSION CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
13422 NEWPORT AVE STE G
TUSTIN, CA
ZIP 92780
Phone: (714) 731-7772
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ORANGE COUNTY MISSION CHIROPRACTIC 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. ORANGE COUNTY MISSION CHIROPRACTIC NPI is 1720500408. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13422 NEWPORT AVE STE G
TUSTIN, CA
ZIP 92780-746
Phone: (714) 731-7772
Fax: (714) 884-3644

The provider's authorized official is Greg S Kim .
The authorized official title is Owner and has the following contact phone number (714) 731-7772.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 7/21/2022.


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
1111NS0005XChiropractorSports Physician28104CALIFORNIANo
2111N00000XChiropractor28104CALIFORNIAYes

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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