| Organization Name: | BLUMHARDT FAMILY CHIROPRACTIC, PC |
| NPI Number: | 1184819211 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON BLUMHARDT (PRESIDENT/CHIROPRACTOR) |
| Mailing Address: | 14081 Yorba St Suite 106 Tustin |
| State: | CA US |
| Postal Code: | 927802010 |
| Phone Number: | 7146659355 |
| Fax Number: | 8662656179 |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 09/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | 30606 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |