Provider Demographics
NPI:1518551423
Name:CHLUPEK, BARBARA A (DC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:CHLUPEK
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:PO BOX 1026
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92781-1026
Mailing Address - Country:US
Mailing Address - Phone:714-734-5600
Mailing Address - Fax:
Practice Address - Street 1:15 NATIONAL PL
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-0702
Practice Address - Country:US
Practice Address - Phone:714-734-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17650111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor