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14742 Plaza Dr, Ste 101, Tustin, CA 92780 | |
| (714) 838-1255 | |
| (714) 838-5784 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 14742 Plaza Dr, Tustin, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689691511 | NPI | - | NPPES |
| ZZZ77122Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC 8967 (California) | Primary |
| Provider Name | John P Earnest |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629093687 PECOS PAC ID: 2466514435 Enrollment ID: I20090107000351 |
| Provider Name | John C Mykkanen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679598015 PECOS PAC ID: 8729140793 Enrollment ID: I20120831000377 |
| Mailing Address | Practice Location Address |
|---|---|
14742 Plaza Dr, Ste 101, Tustin, CA 92780 Ph: (714) 838-1255 | 14742 Plaza Dr, Ste 101, Tustin, CA 92780 Ph: (714) 838-1255 |
Mark S. Johnson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 17251 17th St Ste A, Tustin, CA 92780 Phone: 714-832-2273 Fax: 714-832-2272 | |
David A. Molthen, D. C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14742 Plaza Dr, Ste 101, Tustin, CA 92780 Phone: 714-838-1255 Fax: 714-838-5784 | |
Dr. Tyrone Balucanag, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1783 Flight Way, Tustin, CA 92782 Phone: 949-722-7070 | |
Eastern Medical Group Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1076 E 1st St, Suite G, Tustin, CA 92780 Phone: 714-669-9088 | |
Fereshteh Saeeda, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 180 E Main St Suite 106, Tustin, CA 92780 Phone: 714-505-1901 Fax: 714-884-3391 | |
Sanaz Rouhani, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1442 Irvine Blvd, Suite 125, Tustin, CA 92780 Phone: 714-544-1600 |