Provider Demographics
NPI:1043010358
Name:CHAI, ISSAC (DC)
Entity type:Individual
Prefix:
First Name:ISSAC
Middle Name:
Last Name:CHAI
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14232 RED HILL AVE STE B
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-5836
Mailing Address - Country:US
Mailing Address - Phone:425-516-3860
Mailing Address - Fax:
Practice Address - Street 1:14232 RED HILL AVE STE B
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-5836
Practice Address - Country:US
Practice Address - Phone:425-516-3860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC37193111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor