Healthcare Provider Details
I. General information
NPI: 1477327112
Provider Name (Legal Business Name): TYLER MEIER DC., A PROFESSIONAL CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2023
Last Update Date: 11/13/2023
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20301 SW BIRCH ST STE 201
NEWPORT BEACH CA
92660-1754
US
IV. Provider business mailing address
20301 SW BIRCH ST STE 201
NEWPORT BEACH CA
92660-1754
US
V. Phone/Fax
- Phone: 949-536-5506
- Fax:
- Phone: 949-536-5506
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TYLER
MEIER
Title or Position: OWNER
Credential: DC
Phone: 949-536-5506