Provider Demographics
NPI:1609094168
Name:R. ADAMS CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:R. ADAMS CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-529-6165
Mailing Address - Street 1:171 S KRAEMER BLVD STE D3
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-4678
Mailing Address - Country:US
Mailing Address - Phone:714-529-6165
Mailing Address - Fax:714-529-3821
Practice Address - Street 1:171 S KRAEMER BLVD STE D3
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-4678
Practice Address - Country:US
Practice Address - Phone:714-529-6165
Practice Address - Fax:714-529-3821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26264111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty