Provider Demographics
NPI:1952551491
Name:ORMOND, MATTHEW TODD (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:TODD
Last Name:ORMOND
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 1:7561 CENTER AVE
Mailing Address - Street 2:SUITE 15
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3053
Mailing Address - Country:US
Mailing Address - Phone:714-745-7643
Mailing Address - Fax:888-317-1204
Practice Address - Street 1:7561 CENTER AVE
Practice Address - Street 2:SUITE 15
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3053
Practice Address - Country:US
Practice Address - Phone:714-745-7643
Practice Address - Fax:888-317-1204
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-20
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30977111N00000X
MO2008009305111N00000X
IDCHIA-1309111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NX0800XChiropractic ProvidersChiropractorOrthopedic