Provider Demographics
NPI:1336427624
Name:EMPLOYEE CARE CENTER
Entity Type:Organization
Organization Name:EMPLOYEE CARE CENTER
Other - Org Name:& TANYA V MARTINEZ CHIROPRACTIC INC
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOERNER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:714-785-6573
Mailing Address - Street 1:550 N PARKCENTER DR
Mailing Address - Street 2:STE 100
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3529
Mailing Address - Country:US
Mailing Address - Phone:714-953-4322
Mailing Address - Fax:714-953-4327
Practice Address - Street 1:550 N. PARKCENTER DR
Practice Address - Street 2:STE 100
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3529
Practice Address - Country:US
Practice Address - Phone:714-953-4322
Practice Address - Fax:714-953-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31936111N00000X, 111NX0800X
CAAC8877171100000X
CAPT12770225100000X, 2251E1200X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomicsGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT12770OtherLICENSE
CAAC8877OtherLICENSE
CADC31936OtherLICENSE