Healthcare Provider Details

I. General information

NPI: 1093198269
Provider Name (Legal Business Name): HOUGH CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2015
Last Update Date: 07/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2034 N BROADWAY
SANTA ANA CA
92706-2612
US

IV. Provider business mailing address

2034 N BROADWAY
SANTA ANA CA
92706-2612
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-9532
  • Fax: 714-836-0883
Mailing address:
  • Phone: 714-633-9532
  • Fax: 714-836-0883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NT0100X
TaxonomyThermography Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES L HOUGH JR.
Title or Position: PRESIDENT
Credential: DC
Phone: 714-633-9532