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General NPI Number Information
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NPI Number | 1518399757
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Entity Type | Organization
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Legal Business Name | GASPER CHIROPRACTIC PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 07/30/2013
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Provider Practice Location Address
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Address Line | 17050 BUSHARD ST SUITE 205
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2832
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Country | US
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Telephone | 657-464-9123
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Fax | 714-274-9806
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Provider Business Mailing Address
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Address Line | 17050 BUSHARD ST SUITE 205
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2832
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Country | US
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Telephone | 657-464-9123
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Fax | 714-274-9806
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Authorized Official
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Title or Position | OWNER
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Name | CHARLANNE GASPER
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Credential | D.C.
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Telephone | 657-464-9123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 26507
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License Number State | CA
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