Organization
DA MOLTHEN JP EARNEST DOCTORS OF CHIROPRACTIC APC
Active
Other names
DA Molthen JP Earnest TW Tucker Doctors of Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P EARNST DC (VICE PRESIDENT)
(714) 838-1255
Entity
Organization
Contact information
Practice address
14742 PLAZA DR, STE 101, TUSTIN, CA 92780
(714) 838-1255
(714) 838-5784
Mailing address
14742 PLAZA DR, STE 101, TUSTIN, CA 92780
(714) 838-1255
(714) 838-5784
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 8967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ77122Z
BLUE SHIELD
CA
Enumeration date
07/16/2006
Last updated
05/31/2024
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