Provider Demographics
NPI:1043460546
Name:TAGLE CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:TAGLE CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:TAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-770-6002
Mailing Address - Street 1:23181 VERDUGO DR
Mailing Address - Street 2:STE 100A
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1357
Mailing Address - Country:US
Mailing Address - Phone:949-770-6002
Mailing Address - Fax:949-951-2056
Practice Address - Street 1:23181 VERDUGO DR
Practice Address - Street 2:STE 100A
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1357
Practice Address - Country:US
Practice Address - Phone:949-770-6002
Practice Address - Fax:949-951-2056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty