Provider Demographics
NPI:1386863322
Name:DIGIORGIO, JOANNE MCGUFFIN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:MCGUFFIN
Last Name:DIGIORGIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:BAGBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3857 BIRCH ST
Mailing Address - Street 2:SUITE 161
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2616
Mailing Address - Country:US
Mailing Address - Phone:949-225-7450
Mailing Address - Fax:
Practice Address - Street 1:3857 BIRCH ST
Practice Address - Street 2:SUITE 161
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2616
Practice Address - Country:US
Practice Address - Phone:949-225-7450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22574111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor