Provider Demographics
NPI:1447329859
Name:TAYLOR, JOHN MILES (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MILES
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9430 WARNER AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-2826
Mailing Address - Country:US
Mailing Address - Phone:714-963-2200
Mailing Address - Fax:714-964-2277
Practice Address - Street 1:9430 WARNER AVE
Practice Address - Street 2:SUITE K
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-2826
Practice Address - Country:US
Practice Address - Phone:714-963-2200
Practice Address - Fax:714-964-2277
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-24632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor