Provider Demographics
NPI:1215017272
Name:DAILY, BRIGIDE LORRAINE (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIGIDE
Middle Name:LORRAINE
Last Name:DAILY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2975 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4117
Mailing Address - Country:US
Mailing Address - Phone:714-662-0670
Mailing Address - Fax:714-662-7957
Practice Address - Street 1:2975 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4117
Practice Address - Country:US
Practice Address - Phone:714-662-0670
Practice Address - Fax:714-662-7957
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor