Healthcare Provider Details
I. General information
NPI: 1134267396
Provider Name (Legal Business Name): SCHLINGMAN CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/01/2007
Last Update Date: 08/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23412 MOULTON PKWY SUITE 100
LAGUNA HILLS CA
92653-1732
US
IV. Provider business mailing address
43 GOLDBRIAR WAY
MISSION VIEJO CA
92692-5986
US
V. Phone/Fax
- Phone: 949-632-9528
- Fax: 949-768-7432
- Phone: 949-632-9528
- Fax: 949-768-7432
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 15030 |
| License Number State | CA |
VIII. Authorized Official
Name:
JOHN
W.
SCHLINGMAN
III
Title or Position: PRESIDENT
Credential: D.C.
Phone: 949-632-9528