Healthcare Provider Details

I. General information

NPI: 1134050297
Provider Name (Legal Business Name): BRYENTON FAMILY CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12575 NEWPORT AVE STE C
TUSTIN CA
92780-2452
US

IV. Provider business mailing address

12575 NEWPORT AVE STE C
TUSTIN CA
92780-2452
US

V. Phone/Fax

Practice location:
  • Phone: 714-544-1355
  • Fax: 714-544-1366
Mailing address:
  • Phone: 714-544-1355
  • Fax: 714-544-1366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MATTHEW THANE BRYENTON
Title or Position: OWNER
Credential: DC
Phone: 714-544-1355