Provider Demographics
NPI:1831594894
Name:ADAMS, REGINA (DC, BSC)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DC, BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15850 LANDMARK DR
Mailing Address - Street 2:SUITE 14
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-3869
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15850 LANDMARK DR
Practice Address - Street 2:SUITE 14
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90604-3869
Practice Address - Country:US
Practice Address - Phone:562-265-8728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-01
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC33107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor