MEDICARE: DR. BENJAMIN ALLEN HORNING 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	111N00000X	Chiropractor	32532	CA

General Provider Information

NPI Number	:	1902148893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN ALLEN HORNING D.C.

Provider Business Mailing Address
First Line	:	25241 PASEO DE ALICIA STE 150
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-4648
Country	:	US
Telephone Number	:	949-422-7698
Fax Number	:	949-716-2224

Provider Business Practice Location Address
First Line	:	25241 PASEO DE ALICIA STE 150
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-4648
Country	:	US
Telephone Number	:	949-422-7698
Fax Number	:	949-315-3857

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

Provider Enumeration Date	:	03/19/2013
Last Update Date	:	03/21/2022

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