Provider Demographics
NPI:1285029967
Name:PARKINEN, NESSA (DC)
Entity Type:Individual
Prefix:
First Name:NESSA
Middle Name:
Last Name:PARKINEN
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 1:23101 LAKE CENTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-2882
Mailing Address - Country:US
Mailing Address - Phone:949-586-2730
Mailing Address - Fax:949-586-2745
Practice Address - Street 1:23101 LAKE CENTER DR STE 110
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-2882
Practice Address - Country:US
Practice Address - Phone:949-586-2730
Practice Address - Fax:949-586-2745
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC33241111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor