Healthcare Provider Details

I. General information

NPI: 1366170581
Provider Name (Legal Business Name): M E MILLER CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 09/27/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 N HARBOR BLVD STE 125
FULLERTON CA
92835-4167
US

IV. Provider business mailing address

1440 N HARBOR BLVD STE 125
FULLERTON CA
92835-4167
US

V. Phone/Fax

Practice location:
  • Phone: 714-589-2619
  • Fax: 714-576-2551
Mailing address:
  • Phone: 714-589-2619
  • Fax: 714-576-2551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGHAN ELIZABETH MILLER
Title or Position: OWNER
Credential: D.C.
Phone: 714-272-3602