Healthcare Provider Details

I. General information

NPI: 1801145164
Provider Name (Legal Business Name): J W SCHLINGMAN CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2012
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3203 CARSON ST UNIT 1
LAKEWOOD CA
90712-4052
US

IV. Provider business mailing address

28311 VIA ALFONSE
LAGUNA NIGUEL CA
92677-7060
US

V. Phone/Fax

Practice location:
  • Phone: 949-632-9528
  • Fax:
Mailing address:
  • Phone: 949-632-9528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number15030
License Number StateCA

VIII. Authorized Official

Name: JOHN W SCHLINGMAN III
Title or Position: PRESIDENT
Credential: D.C.
Phone: 949-632-9528