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General NPI Number Information
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NPI Number | 1477230605
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Entity Type | Organization
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Legal Business Name | NOEL CHIROPRACTIC INC.
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 23436 MADERO STE 120
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City | MISSION VIEJO
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State | CA
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Zip | 92691-2773
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Country | US
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Telephone | 510-779-2691
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Fax |
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Provider Business Mailing Address
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Address Line | 25951 CORRIENTE LN
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City | MISSION VIEJO
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State | CA
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Zip | 92691-4018
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Country | US
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Telephone | 949-633-9812
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Fax |
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Authorized Official
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Title or Position | OWNER / CEO
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Name | DR. JONATHAN NOEL
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Credential | DC
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Telephone | 949-633-9812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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