Provider Demographics
NPI:1649469578
Name:SIMPSON CHIROPRACTIC GROUP, INC.
Entity type:Organization
Organization Name:SIMPSON CHIROPRACTIC GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-255-9494
Mailing Address - Street 1:2500 E IMPERIAL HWY
Mailing Address - Street 2:SUITE: 164
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-6122
Mailing Address - Country:US
Mailing Address - Phone:714-255-9494
Mailing Address - Fax:714-255-1019
Practice Address - Street 1:2500 E IMPERIAL HWY
Practice Address - Street 2:SUITE: 164
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-6122
Practice Address - Country:US
Practice Address - Phone:714-255-9494
Practice Address - Fax:714-255-1019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty