Healthcare Provider Details

I. General information

NPI: 1932507738
Provider Name (Legal Business Name): AIMEE VANDERSCHELDEN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18600 MAIN ST SUITE 110
HUNTINGTON BEACH CA
92648-1708
US

IV. Provider business mailing address

18600 MAIN ST STE 110
HUNTINGTON BEACH CA
92648-1715
US

V. Phone/Fax

Practice location:
  • Phone: 714-794-2171
  • Fax:
Mailing address:
  • Phone: 714-794-2171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number33130
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number33130
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: