Antonissen Family Chiropractic

LBN: Antonissen Family Chiropractic
Antonissen Family Chiropractic is an health care organization with primary practice located at 33081 Camino Capistrano , San Juan Capistrano CA 92675-4868. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Antonissen Family Chiropractic can be contacted via phone (949) 228-1147, or through Antonissen, Brandon via phone (949) 228-1147.

Contact Information

Primary practice address
33081 Camino Capistrano San Juan Capistrano CA 92675-4868
Phone: (949) 228-1147
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Antonissen, Brandon Doctor of Chiropractic (DC)
Phone: (949) 228-1147

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1033687223
LBN Legal business name Antonissen Family Chiropractic
DBA Doing business as
Authorized official Antonissen, Brandon Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2018
Last updated Mar 20th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033687223 NPPES
California MEDICAID CB304299

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