Most Relevant Information
Provider Data
| NPI Number: | 1003640103 |
| Provider Name: | JOHN TYLER RICHARD |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 36800 |
Most Important Dates
| Enumeration Date: | 08/29/2024 |
| Last Updated: | 08/29/2024 |
Provider Practice Location
8941 ADAMS AVE
HUNTINGTON BEACH
CA
926463330
Practice Location Phone/Fax
| Phone: | 7149628818 |
| Fax: |
Provider Mailing Location
8941 ADAMS AVE
HUNTINGTON BEACH
CA
926463330
Provider Mailing Phone/Fax
| Phone: | 7149628818 |
| Fax: |