Provider Demographics
NPI:1902148893
Name:HORNING, BENJAMIN ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:ALLEN
Last Name:HORNING
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 1:25241 PASEO DE ALICIA STE 150
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4648
Mailing Address - Country:US
Mailing Address - Phone:949-422-7698
Mailing Address - Fax:949-716-2224
Practice Address - Street 1:25241 PASEO DE ALICIA STE 150
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4648
Practice Address - Country:US
Practice Address - Phone:949-422-7698
Practice Address - Fax:949-315-3857
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32532111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor