MEDICARE: KIRCHNER CHIROPRACTIC INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	111NN1001X	Nutrition Chiropractor
2	111NP0017X	Pediatric Chiropractor
3	111NS0005X	Sports Physician Chiropractor
4	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1629693635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIRCHNER CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	27902 MUIRFIELD
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92692-1576
Country	:	US
Telephone Number	:	949-751-8328
Fax Number	:

Provider Business Practice Location Address
First Line	:	27401 LOS ALTOS STE 300
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-7608
Country	:	US
Telephone Number	:	949-831-1932
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SCOTT KIRCHNER
Credential	:	DC
Telephone Number	:	949-751-8328

Provider Enumeration Date	:	06/15/2020
Last Update Date	:	06/15/2020

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