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ANTONISSEN FAMILY CHIROPRACTIC NPI 1033687223


NPI Information

NPI: 1033687223
Provider Name: ANTONISSEN FAMILY CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
33081 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA
ZIP 92675
Phone: (949) 228-1147
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ANTONISSEN FAMILY CHIROPRACTIC is a chiropractor in San Juan Capistrano, 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. ANTONISSEN FAMILY CHIROPRACTIC NPI is 1033687223. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33081 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA
ZIP 92675-868
Phone: (949) 228-1147

The provider's authorized official is Brandon Antonissen .
The authorized official title is President and has the following contact phone number (949) 228-1147.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 3/20/2023.


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
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CB304299MEDICAIDCALIFORNIA

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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