Dr. John Clarence Reardon II
Rehabilitation Chiropractor
419 Main St # 312
Huntington Beach
, California 92648-5199
Dr. John Clarence Reardon II
Rehabilitation Chiropractor
419 Main St # 312
Huntington Beach
, California 92648-5199
(714) 867-7883
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. John Clarence Reardon II
- 419 Main St # 312
- Huntington Beach, CA
- Zip : 92648-5199
- Phone : (714) 867-7883
Second Address
- Dr. John Clarence Reardon II
- 419 Main St # 312
- Huntington Beach, CA
- Zip : 92648-5199
- Phone : (714) 867-7883
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | DC26989 | CA |
National Provider Identifier
| NPI | 1245350875 |
|---|---|
| Provider Name | Dr. John Clarence Reardon II |
| First Address | Huntington Beach, CA 92648-5199 |
| Second Address | Huntington Beach, CA 92648-5199 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2007 |
| Last Update Date | 08/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| DC0026989 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.