MEDICARE: TANYA AMELIE SIMARD D.C

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
1	111NR0200X	Radiology Chiropractor	33836	CA

General Provider Information

NPI Number	:	1154856268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA AMELIE SIMARD D.C

Provider Business Mailing Address
First Line	:	23252 ARROYO VIS
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-2610
Country	:	US
Telephone Number	:	949-264-6440
Fax Number	:

Provider Business Practice Location Address
First Line	:	23252 ARROYO VIS
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-2610
Country	:	US
Telephone Number	:	949-264-6440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2017
Last Update Date	:	04/26/2017

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