| Irvine Spine And Sport | |
|
1110 Roosevelt, Suite# 100, Irvine, CA 92620-3686 | |
| (949) 857-1888 | |
| (949) 857-4536 |
| Full Name | Irvine Spine And Sport |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1110 Roosevelt, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275696619 | NPI | - | NPPES |
| ZZZ50052Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Timothy R Twombly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992830285 PECOS PAC ID: 0941281869 Enrollment ID: I20040526001529 |
| Provider Name | Kenneth D Erickson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306971601 PECOS PAC ID: 2567518590 Enrollment ID: I20110208000341 |
| Mailing Address | Practice Location Address |
|---|---|
| Irvine Spine And Sport 15520 Rockfield Blvd, A220, Irvine, CA 92618-2717 Ph: (949) 598-9999 | Irvine Spine And Sport 1110 Roosevelt, Suite# 100, Irvine, CA 92620-3686 Ph: (949) 857-1888 |
Bigenho Chiropractic Corporation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3 Corporate Park Ste 165, Irvine, CA 92606 Phone: 949-355-1522 | |
Dr. Brent Myron Smith, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4200 Trabuco Rd, Suite 180, Irvine, CA 92620 Phone: 949-552-1172 Fax: 949-552-8172 | |
Dr. John N Saddik, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 17811 Sky Park Cir, Suite E, Irvine, CA 92614 Phone: 949-263-9003 Fax: 949-263-9002 | |
Faraz Ozlati, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 400 Limestone Apt 115, Irvine, CA 92603 Phone: 949-439-0958 | |
Disiena Family Chiropractic, A Prof Corp Chiropractor Medicare: Medicare Enrolled Practice Location: 6 Venture, Suite 115, Irvine, CA 92618 Phone: 949-559-6030 Fax: 949-559-6037 | |
Matin Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4330 Barranca Pkwy Ste 245, Irvine, CA 92604 Phone: 803-609-3216 Fax: 949-786-7114 | |
Kevin Kroes Chiropractic Corp Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18017 Sky Park Cir, Ste. F, Irvine, CA 92614 Phone: 949-862-7499 Fax: 949-862-7496 |