Provider Demographics
NPI:1134698996
Name:WERNER, AMBER (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:WERNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:JEAN
Other - Last Name:WERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4029 WESTERLY PL STE 115
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2329
Mailing Address - Country:US
Mailing Address - Phone:949-431-0053
Mailing Address - Fax:
Practice Address - Street 1:4029 WESTERLY PLACE
Practice Address - Street 2:SUITE #115
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-333-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-21
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC33322111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor