Provider Demographics
NPI:1326133026
Name:MYREN, DONALD C (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:C
Last Name:MYREN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41750 WINCHESTER RD
Mailing Address - Street 2:STE. M
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4898
Mailing Address - Country:US
Mailing Address - Phone:951-296-9350
Mailing Address - Fax:951-296-9351
Practice Address - Street 1:41750 WINCHESTER RD
Practice Address - Street 2:STE. M
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4898
Practice Address - Country:US
Practice Address - Phone:951-296-9350
Practice Address - Fax:951-296-9351
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19545111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC19545Medicare ID - Type UnspecifiedMEDICARE NUMBER