| Porath Chiropractic Corporation | |
|
1748 W Katella Ave, 107, Orange, CA 92867-3437 | |
| (714) 313-4212 | |
| (714) 464-5365 |
| Full Name | Porath Chiropractic Corporation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1748 W Katella Ave, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366767451 | NPI | - | NPPES |
| DC26124 | Other | CA | D.C. LICENSE |
| INDIVIDUAL NPI | Other | CA | 1659696748 |
| ZZZ03106Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC26124 (California) | Primary |
| Provider Name | William T Porath |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659696748 PECOS PAC ID: 4385839265 Enrollment ID: I20101117001154 |
| Mailing Address | Practice Location Address |
|---|---|
| Porath Chiropractic Corporation 15550 Rockfield Blvd, B220, Irvine, CA 92618-2720 Ph: (949) 598-9999 | Porath Chiropractic Corporation 1748 W Katella Ave, 107, Orange, CA 92867-3437 Ph: (714) 313-4212 |
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