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NPI Code Detail

MEDICARE: JO ANN SCOTT CHIROPRACTIC, INC

MEDICARE: JO ANN SCOTT CHIROPRACTIC, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC21541CA

General Provider Information

NPI Number : 1073750782
Entity Type Code : Organization
Provider Name (Legal Business Name) : JO ANN SCOTT CHIROPRACTIC, INC
Provider Business Mailing Address
First Line : 30100 CROWN VALLEY PKWY
Second Line : SUITE 16
City : LAGUNA NIGUEL
State : CA
Zip : 92677-2041
Country : US
Telephone Number : 949-249-2720
Fax Number : 949-249-1846
Provider Business Practice Location Address
First Line : 30100 CROWN VALLEY PKWY
Second Line : SUITE 16
City : LAGUNA NIGUEL
State : CA
Zip : 92677-2041
Country : US
Telephone Number : 949-249-2720
Fax Number : 949-249-1846
Authorized Official
Title or Position : OWNER
Name : DR. JO ANN M SCOTT
Credential : D.C.
Telephone Number : 949-249-2720
Provider Enumeration Date : 01/16/2009
Last Update Date : 01/16/2009

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1972716264 — ELLEN GECHT MFT
Practice Location Address:
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Directions to “JO ANN SCOTT CHIROPRACTIC, INC ” Practice Location

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