Healthcare Provider Details

I. General information

NPI: 1821912866
Provider Name (Legal Business Name): MICHAEL TYLER COLLINS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32585 GOLDEN LANTERN STE H
DANA POINT CA
92629-3252
US

IV. Provider business mailing address

32585 GOLDEN LANTERN STE H
DANA POINT CA
92629-3252
US

V. Phone/Fax

Practice location:
  • Phone: 949-584-5000
  • Fax: 949-481-3924
Mailing address:
  • Phone: 949-584-5000
  • Fax: 949-481-3924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37700
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: