=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902294341
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOHN C ARGERICH JR. D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/08/2015
-----------------------------------------------------
Last Update Date | 01/08/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3300 IRVINE AVENUE, SUITE 307
-----------------------------------------------------
City | NEWPORT BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-724-1800
-----------------------------------------------------
Fax | 949-724-1811
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3300 IRVINE AVENUE, SUITE 307
-----------------------------------------------------
City | NEWPORT BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-724-1800
-----------------------------------------------------
Fax | 949-724-1811
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 33116
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------