Healthcare Provider Details

I. General information

NPI: 1174889083
Provider Name (Legal Business Name): TAGLIARINI CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 04/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 HEMLOCK WAY SUITE 111
SANTA ANA CA
92707-3650
US

IV. Provider business mailing address

PO BOX 19188
IRVINE CA
92623-9188
US

V. Phone/Fax

Practice location:
  • Phone: 714-547-0777
  • Fax: 714-547-8788
Mailing address:
  • Phone: 714-547-0777
  • Fax: 714-547-8788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH M. TAGLIARINI
Title or Position: PRESIDENT
Credential: D.C.
Phone: 714-547-0777