Provider Demographics
NPI:1952998247
Name:BRETON, CATHERINE (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:BRETON
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 1:26933 CAMINO DE ESTRELLA STE B
Mailing Address - Street 2:
Mailing Address - City:CAPISTRANO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92624-1680
Mailing Address - Country:US
Mailing Address - Phone:949-503-2691
Mailing Address - Fax:
Practice Address - Street 1:26933 CAMINO DE ESTRELLA STE B
Practice Address - Street 2:
Practice Address - City:CAPISTRANO BEACH
Practice Address - State:CA
Practice Address - Zip Code:92624-1680
Practice Address - Country:US
Practice Address - Phone:949-503-2691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor