Healthcare Provider Details

I. General information

NPI: 1114052735
Provider Name (Legal Business Name): AFFINITY CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1141 PACIFIC ST STE F
SAN LUIS OBISPO CA
93401-3307
US

IV. Provider business mailing address

1141 PACIFIC ST STE F
SAN LUIS OBISPO CA
93401-3307
US

V. Phone/Fax

Practice location:
  • Phone: 805-544-8884
  • Fax: 805-548-0055
Mailing address:
  • Phone: 805-544-8884
  • Fax: 805-548-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number969959
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC24865
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number973155
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC24721
License Number StateCA

VIII. Authorized Official

Name: DR. JEFFREY DEAN HINER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 805-544-8884