Randall Craig Stark in Los Alamitos - Chiropractor
Randall Craig Stark - NPI 1568674737
Randall Craig Stark is a Chiropractor in Los Alamitos, California. Randall Craig Stark practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Randall Craig Stark is 1568674737. The last update date is 2007-07-08.
Randall Craig Stark's current location address is 4132 Katella Ave Ste 102, Los Alamitos, California. You can contact this provider via phone number 5624934473 and fax number 5624934824. The mailing address for Randall Craig Stark is 4132 Katella Ave Ste 102, Los Alamitos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Craig Stark |
|---|---|
| Address | 4132 Katella Ave Ste 102, Los Alamitos, California |
| Phone Number | 5624934473 |
| Fax Number | 5624934824 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1568674737 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4132 Katella Ave Ste 102 |
|---|---|
| City | Los Alamitos |
| State | California (CA) |
| Post Code | 907203491 |
| Phone Number | 5624934473 |
| Fax Number | 5624934824 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC20409 |
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Definition: 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 inte |
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What is the Randall Craig Stark's 1568674737?
The Randall Craig Stark's NPI (National Provider Identifier) Number is 1568674737. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Randall Craig Stark is located?
The Randall Craig Stark is situated at the following address: 4132 Katella Ave Ste 102, Los Alamitos, CA, 907203491.
What is Randall Craig Stark's area of expertise and its corresponding taxonomy classification?
The Randall Craig Stark's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Randall Craig Stark receive its 1568674737 assignment from the Centers for Medicare & Medicaid Services?
The Randall Craig Stark was assigned its 1568674737 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Randall Craig Stark's details last updated?
The information pertaining to the Randall Craig Stark, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1235130048
Address: 1770 N Orange Grove Ave Ste 101, Pomona, CA