Provider Demographics
NPI:1750024550
Name:BAZIL CHIROPRACTIC HEALTH CENTER
Entity Type:Organization
Organization Name:BAZIL CHIROPRACTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BAZIL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-375-5864
Mailing Address - Street 1:18800 MAIN ST STE 207
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1718
Mailing Address - Country:US
Mailing Address - Phone:714-375-5864
Mailing Address - Fax:714-375-4374
Practice Address - Street 1:18800 MAIN ST STE 207
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1718
Practice Address - Country:US
Practice Address - Phone:714-375-5864
Practice Address - Fax:714-375-4374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty