Healthcare Provider Details

I. General information

NPI: 1295692853
Provider Name (Legal Business Name): INEIGHT ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15991 RED HILL AVE STE 100
TUSTIN CA
92780-7320
US

IV. Provider business mailing address

15991 RED HILL AVE STE 100
TUSTIN CA
92780-7320
US

V. Phone/Fax

Practice location:
  • Phone: 949-392-9534
  • Fax:
Mailing address:
  • Phone: 949-392-9534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JOE PARK
Title or Position: PRESIDENT
Credential: DC
Phone: 949-701-8250