Healthcare Provider Details

I. General information

NPI: 1205461407
Provider Name (Legal Business Name): SAIRA ZIMMERMAN CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2020
Last Update Date: 03/08/2020
Certification Date: 03/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 S BREA BLVD
BREA CA
92821-5307
US

IV. Provider business mailing address

614 S BREA BLVD
BREA CA
92821-5307
US

V. Phone/Fax

Practice location:
  • Phone: 714-256-2225
  • Fax: 714-256-2220
Mailing address:
  • Phone: 714-256-2225
  • Fax: 714-256-2220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. SAIRA ZIMMERMAN
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 714-256-2225