Provider Demographics
NPI:1699855809
Name:MASLER, TODD S (DC)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:S
Last Name:MASLER
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 1:21301 BISHOP
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-4060
Mailing Address - Country:US
Mailing Address - Phone:949-206-1008
Mailing Address - Fax:
Practice Address - Street 1:13344 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-7309
Practice Address - Country:US
Practice Address - Phone:562-924-3347
Practice Address - Fax:562-865-5460
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWDC22405AMedicare PIN