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NPI Code Detail

MEDICARE: DR. MARK KEVIN JONES DC

MEDICARE: DR. MARK KEVIN JONES DC
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
1111N00000XChiropractorDC23536CA

General Provider Information

NPI Number : 1316017452
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK KEVIN JONES DC
Provider Business Mailing Address
First Line : 3848 CAMPUS DR STE 104
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2664
Country : US
Telephone Number : 949-246-2200
Fax Number : 949-724-0185
Provider Business Practice Location Address
First Line : 3848 CAMPUS DR STE 104
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2664
Country : US
Telephone Number : 949-246-2200
Fax Number : 949-724-0185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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