Provider Demographics
NPI:1518424589
Name:RECCORD, TORI (DC)
Entity Type:Individual
Prefix:DR
First Name:TORI
Middle Name:
Last Name:RECCORD
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 1:5324 E SHOSHONE AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-3266
Mailing Address - Country:US
Mailing Address - Phone:805-268-1478
Mailing Address - Fax:
Practice Address - Street 1:14340 BOLSA CHICA RD STE G
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4868
Practice Address - Country:US
Practice Address - Phone:714-709-8030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34443111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor