Provider Demographics
NPI:1205247715
Name:FRANCISCO TAGLE CHIROPRACTIC, INC
Entity type:Organization
Organization Name:FRANCISCO TAGLE CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-368-7600
Mailing Address - Street 1:13771 NEWPORT AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-4692
Mailing Address - Country:US
Mailing Address - Phone:714-368-7600
Mailing Address - Fax:
Practice Address - Street 1:13771 NEWPORT AVE STE 8
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-4692
Practice Address - Country:US
Practice Address - Phone:714-368-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25937111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty