Provider Demographics
NPI:1477826758
Name:DANIEL FARKAS CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:DANIEL FARKAS CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FARKAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-625-1056
Mailing Address - Street 1:19951 ROTHERT LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-3831
Mailing Address - Country:US
Mailing Address - Phone:714-625-1056
Mailing Address - Fax:866-871-6762
Practice Address - Street 1:305 ORANGE AVE
Practice Address - Street 2:SUITE F
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-5100
Practice Address - Country:US
Practice Address - Phone:714-625-1056
Practice Address - Fax:866-871-6762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31760111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty