Healthcare Provider Details
I. General information
NPI: 1891570297
Provider Name (Legal Business Name): GRANT SOLOWAY'S OC CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2023
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2832 E CHAPMAN AVE
ORANGE CA
92869-3211
US
IV. Provider business mailing address
2832 E CHAPMAN AVE
ORANGE CA
92869-3211
US
V. Phone/Fax
- Phone: 714-532-2827
- Fax: 714-532-2917
- Phone: 714-270-0639
- Fax: 714-532-2917
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GRANT
JOSEF
SOLOWAY
Title or Position: DIRECTOR
Credential: DC
Phone: 714-270-0639