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NPI Code Detail

MEDICARE: DR. SCOTT MICHAEL KIRCHNER D.C.

MEDICARE: DR. SCOTT MICHAEL KIRCHNER 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
1111N00000XChiropractor33210CA

General Provider Information

NPI Number : 1659764132
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT MICHAEL KIRCHNER D.C.
Provider Business Mailing Address
First Line : 27401 LOS ALTOS STE 300
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-7608
Country : US
Telephone Number : 949-831-1932
Fax Number :
Provider Business Practice Location Address
First Line : 27401 LOS ALTOS
Second Line : SUITE 485
City : MISSION VIEJO
State : CA
Zip : 92691-6316
Country : US
Telephone Number : 949-831-1932
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2015
Last Update Date : 05/28/2020

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