Provider Demographics
NPI:1891828596
Name:SMITSON, MAUREEN ANGELA (DC)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:ANGELA
Last Name:SMITSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12062 VALLEY VIEW ST
Mailing Address - Street 2:SUITE 133
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-1737
Mailing Address - Country:US
Mailing Address - Phone:714-892-0888
Mailing Address - Fax:714-892-9171
Practice Address - Street 1:12062 VALLEY VIEW ST
Practice Address - Street 2:SUITE 133
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-1737
Practice Address - Country:US
Practice Address - Phone:714-892-0888
Practice Address - Fax:714-892-9171
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22974111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor