MEDICARE: TARJOMAN CHIROPRACTIC INC.

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	DC26497	CA

General Provider Information

NPI Number	:	1346686466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARJOMAN CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	23412 MOULTON PKWY
Second Line	:	SUITE 130
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-1732
Country	:	US
Telephone Number	:	949-829-8871
Fax Number	:	949-829-8870

Provider Business Practice Location Address
First Line	:	23412 MOULTON PKWY
Second Line	:	SUITE 130
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-1732
Country	:	US
Telephone Number	:	949-829-8871
Fax Number	:	949-829-8870

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	MR. MIKE S TARJOMAN
Credential	:	D.C.
Telephone Number	:	949-829-8871

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	05/15/2013

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