Organization · Type 2 NPI

Ideal Spine & Rehab

Chiropractor · Tustin, CA

NPI number 1205128949 Active

Practice location

17251 17th St Ste A&b
Tustin, CA 92780-1970

Fax (714) 832-2272

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC11750 (CA)
Chiropractor 111N00000XDC30257 (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 1205128949

Ideal Spine & Rehab's National Provider Identifier is 1205128949, issued on May 13, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tustin, CA. The record was last updated on Nov 30, 2016.