Provider Demographics
NPI:1558616631
Name:RICHMOND CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:RICHMOND CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-593-4775
Mailing Address - Street 1:9092 TALBERT AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4452
Mailing Address - Country:US
Mailing Address - Phone:714-593-4775
Mailing Address - Fax:
Practice Address - Street 1:9092 TALBERT AVE STE 9
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4452
Practice Address - Country:US
Practice Address - Phone:714-593-4775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty