Healthcare Provider Details

I. General information

NPI: 1245461532
Provider Name (Legal Business Name): CZAPLA CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2009
Last Update Date: 08/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 S BRISTOL ST STE 205
SANTA ANA CA
92704-7306
US

IV. Provider business mailing address

3337 S BRISTOL ST # 120
SANTA ANA CA
92704-7245
US

V. Phone/Fax

Practice location:
  • Phone: 714-444-4044
  • Fax: 714-444-4070
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC 29276
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 34304
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL ROBERT CZAPLA
Title or Position: PRESIDENT
Credential: D.C.
Phone: 714-444-4044