Provider Demographics
NPI:1558459990
Name:STEINHOUSER, JUDITH L (DC)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:L
Last Name:STEINHOUSER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:L
Other - Last Name:BRYANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23028 LAKE FOREST DR
Mailing Address - Street 2:SUITE #D
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-707-2877
Mailing Address - Fax:949-707-2879
Practice Address - Street 1:23028 LAKE FOREST DR
Practice Address - Street 2:SUITE #D
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-707-2877
Practice Address - Fax:949-707-2879
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16539111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0165390Medicare ID - Type Unspecified
T18361Medicare UPIN