| R Tyler Johnson Chiropractic Professional Corporation | |
|
83 Via Pico Plz San Clemente CA 92672-3998 | |
| (949) 436-6440 | |
| Not Available |
| Full Name | R Tyler Johnson Chiropractic Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 83 Via Pico Plz, San Clemente, California |
| Authorized Official Name and Position | Raymon Tyler Johnson (PRESIDENT) |
| Authorized Official Contact | 9494366440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R Tyler Johnson Chiropractic Professional Corporation 83 Via Pico Plz San Clemente CA 92672-3998 Ph: (949) 436-6440 | R Tyler Johnson Chiropractic Professional Corporation 83 Via Pico Plz San Clemente CA 92672-3998 Ph: (949) 436-6440 |
| NPI Number | 1588083489 |
|---|---|
| Provider Enumeration Date | 04/08/2014 |
| Last Update Date | 07/20/2023 |
| Medicare PECOS PAC ID | 5890011415 |
|---|---|
| Medicare Enrollment ID | O20150225002464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588083489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC30699 (California) | Primary |
| Provider Name | Raymon Tyler Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639359763 PECOS PAC ID: 7810079092 Enrollment ID: I20080126000091 |
Care Gastroenterology Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 Camino De Los Mares, Sute 123, San Clemente, CA 92673 Phone: 949-443-1546 Fax: 949-443-1077 | |
Active Life Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 Camino De Estrella, San Clemente, CA 92672 Phone: 949-487-1231 | |
California Rehabilitation & Sports Therapy A California Physical Ther Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Avenida Pico, San Clemente, CA 92672 Phone: 949-245-6581 Fax: 949-688-2136 | |
Inchel Yeam Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Camino De Los Mares Ste 200, San Clemente, CA 92673 Phone: 949-489-8783 | |
San Clemente Internal Medical Group Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 665 Camino De Los Mares Ste 309, San Clemente, CA 92673 Phone: 949-487-9034 Fax: 949-493-3721 | |
Joomo Yang, Md., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2403 Camino Corso Rio, San Clemente, CA 92673 Phone: 949-226-8416 Fax: 949-226-8019 | |
Hybrid Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1031 Avenida Pico, Sutie 103, San Clemente, CA 92673 Phone: 202-904-8490 |