Provider Demographics
NPI:1447226592
Name:TAO, CLIFF (DC)
Entity Type:Individual
Prefix:DR
First Name:CLIFF
Middle Name:
Last Name:TAO
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:PO BOX 9161
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92812-7161
Mailing Address - Country:US
Mailing Address - Phone:714-876-1126
Mailing Address - Fax:
Practice Address - Street 1:1381 S WALNUT ST
Practice Address - Street 2:UNIT 2906
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-2270
Practice Address - Country:US
Practice Address - Phone:714-876-1126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2013-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-27648111NR0200X
CA27648111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
No111N00000XChiropractic ProvidersChiropractor