Provider Demographics
NPI:1326158346
Name:SWAIN, ROBERT LEE (D C)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:LEE
Last Name:SWAIN
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8907 WARNER AVE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-5075
Mailing Address - Country:US
Mailing Address - Phone:714-842-6122
Mailing Address - Fax:714-375-2591
Practice Address - Street 1:8907 WARNER AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-5075
Practice Address - Country:US
Practice Address - Phone:714-842-6122
Practice Address - Fax:714-375-2591
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13692111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor