Provider Demographics
NPI:1174889083
Name:TAGLIARINI CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:TAGLIARINI CHIROPRACTIC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:TAGLIARINI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-547-0777
Mailing Address - Street 1:PO BOX 19188
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92623-9188
Mailing Address - Country:US
Mailing Address - Phone:714-547-0777
Mailing Address - Fax:714-547-8788
Practice Address - Street 1:1220 HEMLOCK WAY
Practice Address - Street 2:SUITE 111
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3650
Practice Address - Country:US
Practice Address - Phone:714-547-0777
Practice Address - Fax:714-547-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty