Individual provider · Type 1 NPI

Jeffrey Wayne Mallock, DC

Chiropractor · Tustin, CA

NPI number 1043010812 Active

Practice location

17821 E. 17th St., Suite 250
Tustin, CA 92780

Call (714) 505-2093 Map

Fax (714) 573-0072

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC17747 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1043010812

Jeffrey Wayne Mallock, DC's National Provider Identifier is 1043010812, issued on Mar 19, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tustin, CA. The record was last updated on Mar 25, 2025.