Provider Demographics
NPI:1528810371
Name:GROHMANN CHIROPRACTIC CORPORATION
Entity type:Organization
Organization Name:GROHMANN CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:GROHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-640-9937
Mailing Address - Street 1:313 16TH ST APT 7
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-4247
Mailing Address - Country:US
Mailing Address - Phone:714-640-9937
Mailing Address - Fax:
Practice Address - Street 1:30021 TOMAS STE 210
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2128
Practice Address - Country:US
Practice Address - Phone:714-640-9937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty