Provider Demographics
NPI:1184035925
Name:SEIN CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:SEIN CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-808-9666
Mailing Address - Street 1:2390 E ORANGEWOOD AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-6141
Mailing Address - Country:US
Mailing Address - Phone:714-808-9666
Mailing Address - Fax:714-808-1666
Practice Address - Street 1:2390 E ORANGEWOOD AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-6141
Practice Address - Country:US
Practice Address - Phone:714-808-9666
Practice Address - Fax:714-808-1666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC32837111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty