Provider Demographics
NPI:1639511009
Name:FIORE, JAMES PHILIP (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PHILIP
Last Name:FIORE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 E 17TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-8625
Mailing Address - Country:US
Mailing Address - Phone:714-543-2430
Mailing Address - Fax:714-543-0240
Practice Address - Street 1:1850 E 17TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-8625
Practice Address - Country:US
Practice Address - Phone:714-543-2430
Practice Address - Fax:714-543-0240
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19454111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor