MEDICARE: DORIAN SINCLAIR STITT 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	DC29800	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC 29800	OTHER	CA	CHIRO LIC

General Provider Information

NPI Number	:	1669493268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIAN SINCLAIR STITT D.C.

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	:	949-598-9990

Provider Business Practice Location Address
First Line	:	932 W ALAMEDA AVE
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-2802
Country	:	US
Telephone Number	:	818-766-1128
Fax Number	:	818-766-1142

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	05/23/2025

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