Provider Demographics
NPI:1538710496
Name:ORANGE COUNTY SCOLIOSIS & DISC CENTER CHIROPRACTIC
Entity type:Organization
Organization Name:ORANGE COUNTY SCOLIOSIS & DISC CENTER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUNGWOONG
Authorized Official - Middle Name:
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-782-7855
Mailing Address - Street 1:421 N BROOKHURST ST STE 124
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5618
Mailing Address - Country:US
Mailing Address - Phone:714-782-7855
Mailing Address - Fax:714-783-7909
Practice Address - Street 1:421 N BROOKHURST ST STE 124
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5618
Practice Address - Country:US
Practice Address - Phone:714-782-7855
Practice Address - Fax:714-783-7909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty