| Ideal Spine & Rehab | |
|
17251 17th St Ste A&b, Tustin, CA 92780-1970 | |
| (714) 832-2273 | |
| (714) 832-2272 |
| Full Name | Ideal Spine & Rehab |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 17251 17th St Ste A&b, 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 |
|---|---|---|---|
| 1205128949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC11750 (California) | Primary |
| 111N00000X | Chiropractor | DC30257 (California) | Secondary |
| Provider Name | John Djerbaka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003156126 PECOS PAC ID: 8729228630 Enrollment ID: I20130716000874 |
| Provider Name | Yeral Patel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134486921 PECOS PAC ID: 7719111459 Enrollment ID: I20131010002094 |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Spine & Rehab 17251 17th St Ste A&b, Tustin, CA 92780-1970 Ph: (714) 832-2273 | Ideal Spine & Rehab 17251 17th St Ste A&b, Tustin, CA 92780-1970 Ph: (714) 832-2273 |
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 | |
Amy B Friedman Chiropractic Corporation Chiropractor Medicare: Medicare Enrolled Practice Location: 165 Yorba St, Tustin, CA 92780 Phone: 714-832-8747 Fax: 866-572-2498 | |
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 | |
Dr. Arjang Khani, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1431 Warner Ave Ste D, Tustin, CA 92780 Phone: 714-812-6151 |