Provider Demographics
NPI:1679134084
Name:DANNY GARCIA CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:DANNY GARCIA CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-891-2459
Mailing Address - Street 1:1503 SOUTH COAST DRIVE
Mailing Address - Street 2:SUITE 319
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626
Mailing Address - Country:US
Mailing Address - Phone:949-891-2459
Mailing Address - Fax:949-791-7518
Practice Address - Street 1:1503 SOUTH COAST DRIVE
Practice Address - Street 2:SUITE 319
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626
Practice Address - Country:US
Practice Address - Phone:949-891-2459
Practice Address - Fax:949-791-7518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty