Provider Demographics
NPI:1487911384
Name:STIER, JONI LARAINE (DC, LAC)
Entity type:Individual
Prefix:
First Name:JONI
Middle Name:LARAINE
Last Name:STIER
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 1/2 WESTMINSTER AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4218
Mailing Address - Country:US
Mailing Address - Phone:949-933-5317
Mailing Address - Fax:
Practice Address - Street 1:535 1/2 WESTMINSTER AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4218
Practice Address - Country:US
Practice Address - Phone:949-933-5317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31950111NN1001X
CA14733171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111NN1001XChiropractic ProvidersChiropractorNutrition