Provider Demographics
NPI:1295237600
Name:GUITARE, SHAYNA CHRYSTINE (DC)
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:CHRYSTINE
Last Name:GUITARE
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 1:20162 SW BIRCH ST STE 280
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-1536
Mailing Address - Country:US
Mailing Address - Phone:949-650-0736
Mailing Address - Fax:949-650-3912
Practice Address - Street 1:20162 SW BIRCH ST STE 280
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1536
Practice Address - Country:US
Practice Address - Phone:949-650-0736
Practice Address - Fax:949-650-3912
Is Sole Proprietor?:No
Enumeration Date:2018-03-01
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor