Provider Demographics
NPI:1538409057
Name:LANDER, JAMES (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LANDER
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 1:1203 W IMPERIAL HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3741
Mailing Address - Country:US
Mailing Address - Phone:714-931-0475
Mailing Address - Fax:
Practice Address - Street 1:1203 W IMPERIAL HWY
Practice Address - Street 2:STE 100
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3741
Practice Address - Country:US
Practice Address - Phone:714-626-0074
Practice Address - Fax:714-626-0079
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31535111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor