Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GLASS CHIROPRACTIC CORPORATION
Active
Organization
GLASS CHIROPRACTIC CORPORATION
Active
Other names
HealthSource of Lake Forest
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN RAY GLASS DC (OWNER)
(949) 273-5935
Entity
Organization
Contact information
Practice address
22672 LAMBERT ST STE 601, LAKE FOREST, CA 92630-1613
(949) 273-5935
Mailing address
22672 LAMBERT ST STE 601, LAKE FOREST, CA 92630-1613
(949) 273-5935
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28953
LICENSE
CA
Enumeration date
09/18/2020
Last updated
09/18/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up