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NPI Code Detail

MEDICARE: CLAYTON THOMAS NOLE D.C.,CHIROPRACTIC CORPORATION

MEDICARE: CLAYTON THOMAS NOLE D.C.,CHIROPRACTIC CORPORATION
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
1111N00000XChiropractorDC12780CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1$$$$$$$$$OTHERCASOCIAL SECURITY NUMBER

General Provider Information

NPI Number : 1184792095
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLAYTON THOMAS NOLE D.C.,CHIROPRACTIC CORPORATION
Provider Business Mailing Address
First Line : 23412 MOULTON PKWY
Second Line : SUITE 100
City : LAGUNA HILLS
State : CA
Zip : 92653-1732
Country : US
Telephone Number : 949-770-6096
Fax Number : 949-770-5941
Provider Business Practice Location Address
First Line : 23412 MOULTON PKWY
Second Line : SUITE 100
City : LAGUNA HILLS
State : CA
Zip : 92653-1732
Country : US
Telephone Number : 949-770-6096
Fax Number : 949-770-5941
Authorized Official
Title or Position : PRESIDENT
Name : DR. CLAYTON THOMAS NOEL
Credential : D.C.
Telephone Number : 949-770-6096
Provider Enumeration Date : 11/30/2006
Last Update Date : 08/22/2020

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