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NPI Code Detail

MEDICARE: STEPHEN G PARHAM D.C.

MEDICARE:   STEPHEN G PARHAM  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
1111N00000XChiropractorDC21772CA

General Provider Information

NPI Number : 1740361526
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN G PARHAM D.C.
Provider Business Mailing Address
First Line : 15520 ROCKFIELD BLVD
Second Line : STE A200
City : IRVINE
State : CA
Zip : 92618-6705
Country : US
Telephone Number : 949-598-9999
Fax Number : 949-598-9990
Provider Business Practice Location Address
First Line : 27601 FORBES RD
Second Line : 30
City : LAGUNA NIGUEL
State : CA
Zip : 92677-1201
Country : US
Telephone Number : 949-348-2522
Fax Number : 949-348-2428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 06/08/2018

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