Provider Demographics
NPI:1043658008
Name:SINGER, CORY JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:CORY
Middle Name:JAMES
Last Name:SINGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:405 S STATE COLLEGE BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5734
Mailing Address - Country:US
Mailing Address - Phone:714-582-6235
Mailing Address - Fax:714-442-6624
Practice Address - Street 1:405 S STATE COLLEGE BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5734
Practice Address - Country:US
Practice Address - Phone:714-582-6235
Practice Address - Fax:714-442-6624
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32651111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor