Provider Demographics
NPI:1245397801
Name:TONTI, MARC MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:MICHAEL
Last Name:TONTI
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 1:17065 NEWLAND ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-6037
Mailing Address - Country:US
Mailing Address - Phone:714-841-3994
Mailing Address - Fax:714-841-3036
Practice Address - Street 1:17065 NEWLAND ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-6037
Practice Address - Country:US
Practice Address - Phone:714-841-3994
Practice Address - Fax:714-841-3036
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21538111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor