Healthcare Provider Details

I. General information

NPI: 1366015901
Provider Name (Legal Business Name): HASANAIN CHIRO CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 07/21/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15785 LAGUNA CANYON RD STE 330
IRVINE CA
92618-3178
US

IV. Provider business mailing address

828 LAS PALMAS DR
IRVINE CA
92602-2317
US

V. Phone/Fax

Practice location:
  • Phone: 949-393-5897
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMED HASANAIN
Title or Position: PRESIDENT
Credential: DC, MS
Phone: 949-529-1221