Healthcare Provider Details

I. General information

NPI: 1114236361
Provider Name (Legal Business Name): BELLING CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2010
Last Update Date: 10/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 FAIRHILL DR
NEWPORT BEACH CA
92660-3402
US

IV. Provider business mailing address

2304 FAIRHILL DR
NEWPORT BEACH CA
92660-3402
US

V. Phone/Fax

Practice location:
  • Phone: 949-400-5777
  • Fax: 949-631-2050
Mailing address:
  • Phone: 949-400-5777
  • Fax: 949-631-2050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number21641
License Number StateCA

VIII. Authorized Official

Name: RICK L. BELLING
Title or Position: PRESIDENT
Credential: D.C.
Phone: 949-400-5777