Provider Demographics
NPI:1548338627
Name:PASTRMAC, ERIC (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:PASTRMAC
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 1:17897 MACARTHUR BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-0532
Mailing Address - Country:US
Mailing Address - Phone:949-515-3737
Mailing Address - Fax:888-412-7690
Practice Address - Street 1:17897 MACARTHUR BLVD STE 101
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-2179
Practice Address - Country:US
Practice Address - Phone:949-515-3737
Practice Address - Fax:888-412-7690
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24551111NI0013X, 111NX0100X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC24551Medicare ID - Type UnspecifiedCHIROPRACTIC