Provider Demographics
NPI:1073869301
Name:PIRMANN CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:PIRMANN CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:RICHARDS
Authorized Official - Last Name:PIRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-251-0154
Mailing Address - Street 1:1400 REYNOLDS AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5559
Mailing Address - Country:US
Mailing Address - Phone:949-251-0154
Mailing Address - Fax:949-251-0156
Practice Address - Street 1:1400 REYNOLDS AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5559
Practice Address - Country:US
Practice Address - Phone:949-251-0154
Practice Address - Fax:949-251-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27510111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA$$$$$$$$$OtherSOCIAL SECURITY
CA1124135959OtherNPI
CADC27510Medicare UPIN