Individual provider · Type 1 NPI
Tara Rasta, D.C
Chiropractor · Lake Forest, CA
NPI number
1295245587
Active
Practice location
22672 Lambert St Suite 620, Olsen Chiropractic
Lake Forest, CA 92630
Fax (949) 583-2961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 33934 (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 1295245587
Tara Rasta, D.C's National Provider Identifier is 1295245587, issued on Oct 2, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake Forest, CA. The record was last updated on Oct 2, 2017.