Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC 17190 | CA |
NPI | 1326133679 |
---|---|
Provider Name | Dr. Ron Joseph Higuera |
First Address | Murrieta, CA 92562-8002 |
Second Address | Orange, CA 92867-4623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |