MEDICARE: VIBE WELLNESS A JARED YOUNG CHIROPRACTIC PC

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

General Provider Information

NPI Number	:	1316783921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIBE WELLNESS A JARED YOUNG CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	2419 DELAWARE ST APT 1
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-2977
Country	:	US
Telephone Number	:	714-591-3601
Fax Number	:

Provider Business Practice Location Address
First Line	:	4029 WESTERLY PL STE 101
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2329
Country	:	US
Telephone Number	:	714-591-3601
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JARED YOUNG
Credential	:	DC
Telephone Number	:	714-591-3601

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	07/03/2024

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