MEDICARE: FRANK STAINETTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC23695	CA

General Provider Information

NPI Number	:	1275083362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK STAINETTI

Provider Business Mailing Address
First Line	:	15520 ROCKFIELD BLVD STE A200
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-6705
Country	:	US
Telephone Number	:	949-598-9999
Fax Number	:

Provider Business Practice Location Address
First Line	:	890 HAMPSHIRE RD STE S
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-2875
Country	:	US
Telephone Number	:	747-222-7354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2016
Last Update Date	:	10/12/2016

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Directions to “ FRANK STAINETTI ” Practice Location

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