Organization · NPI-2

100 Chiropractic Chad Brandon Apc

Chiropractor · Mission Viejo, CA

NPI number1790497329
StatusActive
Last updated in NPPESDec 14, 2022

Details

NPI
1790497329
Entity type
Organization (NPI-2)
Legal business name
100 Chiropractic Chad Brandon Apc
Organization subpart
No
Enumeration date
Dec 14, 2022
Certification date
Dec 14, 2022
Last updated
Dec 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

24471 Alicia Pkwy Ste 2
Mission Viejo, CA 92691-4542

Phone 626-260-6785

Mailing address

24471 Alicia Pkwy Ste 2
Mission Viejo, CA 92691-4542

Authorized official

Brandon Livingood
Owner
7192445142

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