Provider Demographics
NPI:1689919789
Name:HUY DOAN CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:HUY DOAN CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-554-8784
Mailing Address - Street 1:10512 BOLSA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6727
Mailing Address - Country:US
Mailing Address - Phone:714-554-8784
Mailing Address - Fax:714-554-5497
Practice Address - Street 1:10512 BOLSA AVE STE 101
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6727
Practice Address - Country:US
Practice Address - Phone:714-554-8784
Practice Address - Fax:714-554-5497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-01
Last Update Date:2012-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty