Healthcare Provider Details

I. General information

NPI: 1487911384
Provider Name (Legal Business Name): JONI LARAINE STIER D.C., L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2012
Last Update Date: 12/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 1/2 WESTMINSTER AVE
NEWPORT BEACH CA
92663-4218
US

IV. Provider business mailing address

535 1/2 WESTMINSTER AVE
NEWPORT BEACH CA
92663-4218
US

V. Phone/Fax

Practice location:
  • Phone: 949-933-5317
  • Fax:
Mailing address:
  • Phone: 949-933-5317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number31950
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number14733
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: