Provider Demographics
NPI:1013202126
Name:TAGLIARINI, JOSEPH M (DC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:M
Last Name:TAGLIARINI
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:P.O. BOX 19188
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92623
Mailing Address - Country:US
Mailing Address - Phone:714-547-8777
Mailing Address - Fax:714-547-8788
Practice Address - Street 1:1220 HEMLOCK WAY
Practice Address - Street 2:SUITE 111
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707
Practice Address - Country:US
Practice Address - Phone:714-547-0777
Practice Address - Fax:714-547-8788
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25519111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor