Organization
DISIENA FAMILY CHIROPRACTIC, A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS A DISIENA DC, FICA, QME (PRESIDENT)
(949) 559-6030
Entity
Organization
Contact information
Practice address
6 VENTURE, SUITE 115, IRVINE, CA 92618-8853
(949) 559-6030
(949) 559-6037
Mailing address
6 VENTURE, SUITE 115, IRVINE, CA 92618-3340
(949) 559-6030
(949) 559-6037
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC17101
CA
111N00000X
Chiropractor
DC17166
CA
111N00000X
Chiropractor
DC25305
CA
111N00000X
Chiropractor
DC25546
CA
111N00000X
Chiropractor
DC26991
CA
Other
Enumeration date
01/15/2008
Last updated
09/25/2013
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