SO CAL CHIROPRACTIC NPI 1477898781

NPI Information

  • NPI: 1477898781
  • Provider Name: SO CAL CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 129 W WILSON ST
    STE 104
    COSTA MESA, CA
    ZIP 92627
  • Phone: (949) 548-7767

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NPI Details

SO CAL CHIROPRACTIC is a chiropractor in Costa Mesa, 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. SO CAL CHIROPRACTIC NPI is 1477898781. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

129 W WILSON ST
STE 104
COSTA MESA, CA
ZIP 92627-586
Phone: (949) 548-7767
Fax: (949) 548-5692

The provider's authorized official is Ace S Thayer .
The authorized official title is Owner and has the following contact phone number (949) 548-7767.

The enumeration date for this NPI number is 11/28/2012 and was last updated on 11/28/2012.

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
1111N00000XChiropractorDC24008CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U63220MEDICARE UPINCALIFORNIA

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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