Individual provider · Type 1 NPI

Amie Jackelin Vidana

Chiropractor · Garden Grove, CA

NPI number 1790631034 Active

Practice location

11562 Knott St Ste 17
Garden Grove, CA 92841-1823

Call (714) 209-7602 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC37409 (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 1790631034

Amie Jackelin Vidana's National Provider Identifier is 1790631034, issued on Mar 9, 2026. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Garden Grove, CA. The record was last updated on Mar 9, 2026.