Healthcare Provider Details

I. General information

NPI: 1962376806
Provider Name (Legal Business Name): HEALTH BAR CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W TOWN AND COUNTRY RD STE 6
ORANGE CA
92868-4635
US

IV. Provider business mailing address

1111 W TOWN AND COUNTRY RD STE 6
ORANGE CA
92868-4635
US

V. Phone/Fax

Practice location:
  • Phone: 714-542-1311
  • Fax: 310-519-8290
Mailing address:
  • Phone: 714-542-1311
  • Fax: 310-519-8290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. MANSOUREH BARAHEMI
Title or Position: OWNER
Credential: CHIROPRACTOR
Phone: 714-542-1311