Provider Demographics
NPI:1801365432
Name:BENJAMIN A HORNING DC INC A PROFESSIONAL CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:BENJAMIN A HORNING DC INC A PROFESSIONAL CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-422-7698
Mailing Address - Street 1:25241 PASEO DE ALICIA STE 150
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4648
Mailing Address - Country:US
Mailing Address - Phone:949-422-7698
Mailing Address - Fax:949-315-3857
Practice Address - Street 1:25241 PASEO DE ALICIA STE 150
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4648
Practice Address - Country:US
Practice Address - Phone:949-422-7698
Practice Address - Fax:949-315-3857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service