Provider Demographics
NPI:1821804345
Name:MOORE SPINE CENTER& CHIROPRACTIC SERVICES
Entity type:Organization
Organization Name:MOORE SPINE CENTER& CHIROPRACTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:HOY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-230-7671
Mailing Address - Street 1:1 PETERS CANYON RD STE 120
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1748
Mailing Address - Country:US
Mailing Address - Phone:949-653-6777
Mailing Address - Fax:949-653-9951
Practice Address - Street 1:1 PETERS CANYON RD STE 120
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-1748
Practice Address - Country:US
Practice Address - Phone:949-653-6777
Practice Address - Fax:949-653-9951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty