Provider Demographics
NPI:1497944227
Name:NORMAN, WENDY SUZANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:SUZANNE
Last Name:NORMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27665 FORBES RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1235
Mailing Address - Country:US
Mailing Address - Phone:949-582-9090
Mailing Address - Fax:949-582-9093
Practice Address - Street 1:27665 FORBES RD STE 103
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-1235
Practice Address - Country:US
Practice Address - Phone:949-582-9090
Practice Address - Fax:949-582-9093
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30715111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor