Provider Demographics
NPI:1003041179
Name:STRELEC, SEAN J (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:J
Last Name:STRELEC
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33751 CASTANO DR APT 3
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2238
Mailing Address - Country:US
Mailing Address - Phone:949-933-3627
Mailing Address - Fax:
Practice Address - Street 1:25542 JERONIMO RD STE 3
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-2724
Practice Address - Country:US
Practice Address - Phone:949-837-7463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27297111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation