MEDICARE: DR. JOHN WALTER HESS D.C.

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	DC21619	CA

General Provider Information

NPI Number	:	1447318456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN WALTER HESS D.C.

Provider Business Mailing Address
First Line	:	446 CONDOR AVE
Second Line	:
City	:	BREA
State	:	CA
Zip	:	92823-1007
Country	:	US
Telephone Number	:	714-921-1546
Fax Number	:	714-921-2546

Provider Business Practice Location Address
First Line	:	1520 E LINCOLN AVE
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92865-1928
Country	:	US
Telephone Number	:	714-921-1546
Fax Number	:	714-921-2546

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/09/2007

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