Healthcare Provider Details

I. General information

NPI: 1235830282
Provider Name (Legal Business Name): ADAMS CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 BRISTOL ST STE 200
COSTA MESA CA
92626-7972
US

IV. Provider business mailing address

1122 BRISTOL ST STE 200
COSTA MESA CA
92626-7972
US

V. Phone/Fax

Practice location:
  • Phone: 949-607-7164
  • Fax:
Mailing address:
  • Phone: 949-607-7164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW MICHAEL ADAMS
Title or Position: PRESIDENT/CEO
Credential: DC
Phone: 949-607-7164