Provider Demographics
NPI:1962962365
Name:HOEFER WELL CONNECTED CHIROPRACTIC CORP
Entity type:Organization
Organization Name:HOEFER WELL CONNECTED CHIROPRACTIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, DC
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOEFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-505-7511
Mailing Address - Street 1:28752 BOLANOS
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-1055
Mailing Address - Country:US
Mailing Address - Phone:563-505-7511
Mailing Address - Fax:
Practice Address - Street 1:26302 LA PAZ RD STE 214
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5328
Practice Address - Country:US
Practice Address - Phone:949-359-8385
Practice Address - Fax:949-359-8386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2022-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty