Provider Demographics
NPI:1689876609
Name:TIM FRANKS INC
Entity Type:Organization
Organization Name:TIM FRANKS INC
Other - Org Name:TUSTIN HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-505-0973
Mailing Address - Street 1:18102 IRVINE BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3424
Mailing Address - Country:US
Mailing Address - Phone:714-505-0973
Mailing Address - Fax:714-505-3246
Practice Address - Street 1:18102 IRVINE BLVD STE 209
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3424
Practice Address - Country:US
Practice Address - Phone:714-505-0973
Practice Address - Fax:714-505-3246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA22671111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ561600ZOtherBLUE SHIELD ID
CAZZZ561600ZOtherBLUE SHIELD ID
CAU52794Medicare UPIN