Irvine Spine And Sport

LBN: Timothy R Twombly Dc & Kenneth D Erickson Dc A Chiropractic Corp
Irvine Spine And Sport is an health care organization with primary practice located at 1110 Roosevelt Suite# 100, Irvine CA 92620-3686. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty. Timothy R Twombly Dc & Kenneth D Erickson Dc A Chiropractic Corp can be contacted via phone (949) 857-1888, or through Erickson, Kenneth David via phone (949) 857-1888.

Contact Information

Primary practice address
1110 Roosevelt Suite# 100 Irvine CA 92620-3686
Phone: (949) 857-1888
Fax: (949) 857-4536
Website:
Map and Directions
Authorized official contact:
Name: Erickson, Kenneth David Doctor of Chiropractic (DC)
Phone: (949) 857-1888

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1275696619
LBN Legal business name Timothy R Twombly Dc & Kenneth D Erickson Dc A Chiropractic Corp
DBA Doing business as Irvine Spine And Sport
Authorized official Erickson, Kenneth David Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Sep 14th, 2016 - about 8 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 1275696619 NPPES
California Other ZZZ50052Z BLUE SHIELD

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