Organization
FISHER CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF ALLEN FISHER D.C. (OWNER)
(714) 550-0788
Entity
Organization
Contact information
Practice address
43 CORPORATE PARK STE 204, 204, IRVINE, CA 92606-5137
(714) 550-0788
(714) 550-6001
Mailing address
43 CORPORATE PARK STE 204, IRVINE, CA 92606-5137
(714) 550-0788
(714) 550-6001
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC21320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528089182
PT-28250
CA
01
—
DC21320
CHIROPRACTIC CORP.
CA
01
—
OT5117CA
OCCUPATIONAL THERAPIST
CA
01
—
PT15475
PHYSICAL THERAPY LIC.
CA
Enumeration date
03/23/2007
Last updated
03/29/2016
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