Provider Demographics
NPI:1073716601
Name:AMSTUTZ, JASON WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:WILLIAM
Last Name:AMSTUTZ
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 1:17524 VON KARMAN AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6208
Mailing Address - Country:US
Mailing Address - Phone:949-722-7070
Mailing Address - Fax:949-398-5206
Practice Address - Street 1:361 HOSPITAL RD STE 428
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3525
Practice Address - Country:US
Practice Address - Phone:949-465-0770
Practice Address - Fax:949-220-9103
Is Sole Proprietor?:No
Enumeration Date:2007-06-10
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1306016043OtherFRANK ACUNIA
CA1053729293OtherKENNETH DOBBS
CA1184929408OtherMICHAEL HOLLIS
NY1043277866OtherDON ROURKE
CA1184083057OtherANDREW ADAMS