Healthcare Provider Details

I. General information

NPI: 1346398609
Provider Name (Legal Business Name): JAMES R. SLUSHER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 10/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

15520 ROCKFIELD BLVD A200
IRVINE CA
92618-6705
US

V. Phone/Fax

Practice location:
  • Phone: 949-584-5000
  • Fax: 949-249-2365
Mailing address:
  • Phone: 949-598-9999
  • Fax: 949-598-9990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC12058
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: