JEFFREY WAYNE MALLOCK DC NPI 1043010812

NPI Information

  • NPI: 1043010812
  • Provider Name: JEFFREY WAYNE MALLOCK, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 17821 E. 17TH ST., SUITE 250
    TUSTIN, CA
    ZIP 92780
  • Phone: (714) 505-2093

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NPI Details

Jeffrey Wayne Mallock, DC 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. Jeffrey Wayne Mallock, DC NPI is 1043010812. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17821 E. 17TH ST., SUITE 250
TUSTIN, CA
ZIP 92780
Phone: (714) 505-2093
Fax: (714) 573-0072

The enumeration date for this NPI number is 3/19/2025 and was last updated on 3/25/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorDC17747CALIFORNIAYes

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: 11/21/2025

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