Provider Demographics
NPI:1871272591
Name:MANNING, JOSHUA (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:MANNING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 N PLACENTIA AVE
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-2332
Mailing Address - Country:US
Mailing Address - Phone:714-572-3834
Mailing Address - Fax:714-572-3834
Practice Address - Street 1:1501 N PLACENTIA AVE
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-2332
Practice Address - Country:US
Practice Address - Phone:714-572-3834
Practice Address - Fax:714-572-3834
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36282111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor