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TIMOTHY R TWOMBLY DC & KENNETH D ERICKSON DC A CHIROPRACTIC CORP NPI 1275696619


NPI Information

NPI: 1275696619
Provider Name: TIMOTHY R TWOMBLY DC & KENNETH D ERICKSON DC A CHIROPRACTIC CORP

Doing Business As: IRVINE SPINE AND SPORT

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1110 ROOSEVELT
SUITE# 100
IRVINE, CA
ZIP 92620
Phone: (949) 857-1888
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TIMOTHY R TWOMBLY DC & KENNETH D ERICKSON DC A CHIROPRACTIC CORP is a chiropractor in Irvine, 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. TIMOTHY R TWOMBLY DC & KENNETH D ERICKSON DC A CHIROPRACTIC CORP NPI is 1275696619. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Irvine Spine And Sport.

The provider's business location address is:

1110 ROOSEVELT
SUITE# 100
IRVINE, CA
ZIP 92620-686
Phone: (949) 857-1888
Fax: (949) 857-4536

The provider's authorized official is Kenneth David Erickson .
The authorized official title is Chiropractor and has the following contact phone number (949) 857-1888.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 9/14/2016.


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
1225100000XPhysical TherapistNo
2111N00000XChiropractorYes

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
1ZZZ50052ZOTHERCALIFORNIABLUE SHIELD
26207360001MEDICARE NSCCALIFORNIA
3W13236MEDICARE PINCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.