MR. EDWARD JOHN REYNOLDS (NPI# 1316090616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316090616 |
| Entity Type | Individual |
| Full Name | MR. EDWARD JOHN REYNOLDS |
| Credential | DC |
| Practice Address |
25431 Cabot Rd #110 Laguna Hills CA 92653-5518 |
| Practice Telephone | 9497161900 |
| Practice Fax Number | 9497161919 |
| Mailing Telephone | 9497161900 |
| Mailing Fax Number | 9497161919 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC20364 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENCE | DC20364 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174954929 | Edward Reynolds | Emergency Medical Technician, Paramedic | 105 Westwind Dr, Coraopolis, PA 15108-3866 | 2013-12-04 |
| 1285707794 | Edward Joseph Reynolds | Dentist | 297 Orangeburg Rd, Pearl River, NY 10965 | 2006-11-15 |
| 1013942549 | Edward Roger Reynolds Jr. | Dermatology | 325 Broad Street, Suite 200, Sumter, SC 29150 | 2006-07-12 |
| 1053934018 | Edward Griffin Reynolds | Pharmacist | 1420 E Evans St, Bainbridge, GA 39819-4336 | 2020-05-26 |
| 1356648323 | Edward Hammond Reynolds Jr. | Pharmacist | 1232 W Wade Hampton Blvd, Greer, SC 29650-1243 | 2011-02-27 |
| 1619036415 | Edward F Reynolds IIi | Pharmacist | 71 Haynes St, Manchester, CT 06040-4131 | 2006-12-07 |
| 1801967344 | Edward Vicar Reynolds IIi | Psychologist | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2006-11-13 |
| 1528076593 | Edward Reynolds Jr. | Dentist | 47 Town St, Norwich, CT 06360-2315 | 2006-08-04 |
| Street Address |
25431 CABOT RD #110 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093896862 | Performance Health Medical Group, Inc | Chiropractor | 25431 Cabot Rd, Suite 118, Laguna Hills, CA 92653-5518 | 2006-10-18 |
| 1356710438 | Paul John Licata Md | Clinic/Center | 25431 Cabot Rd, Ste 115, Laguna Hills, CA 92653-5518 | 2015-09-18 |
| 1265773048 | Ashlee Denaro | Specialist | 25431 Cabot Rd, Suite 118, Laguna Hills, CA 92653-5518 | 2013-03-04 |
| 1750622577 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Rd, Suite 118, Laguna Hills, CA 92653-5518 | 2013-03-04 |
| 1043534134 | Alternative & Complementary Medicine, Inc. | Clinical Medical Laboratory | 25431 Cabot Rd, Suite 202a, Laguna Hills, CA 92653-5518 | 2010-03-18 |
| 1710016456 | Valerie Want | Psychologist | 25431 Cabot Rd, Ste. 111, Laguna Hills, CA 92653-5518 | 2007-03-05 |
| 1306975040 | Haig Musurlian | Psychologist | 25431 Cabot Rd, Ste. 111, Laguna Hills, CA 92653-5518 | 2007-03-05 |
| 1225175003 | Amir Shahab Mohseni | Dentist | 25431 Cabot Rd, #205, Laguna Hills, CA 92653-5518 | 2007-01-31 |
| 1346393659 | John Bruce Dorsey | Orthopaedic Surgery | 25431 Cabot Rd, #110, Laguna Hills, CA 92653-5518 | 2007-01-19 |
| 1407908866 | Joanne G. Pagal | Family Medicine | 25431 Cabot Rd, Suite 115, Laguna Hills, CA 92653-5518 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881937258 | Jocelyn Kiyomi Thornton | Chiropractor | 22362 Savona, Laguna Hills, CA 92653-1853 | 2013-04-03 |
| 1922362391 | Vitalistic Healing Arts Center Inc. | Chiropractor | 25431 Cabot Rd Ste 205, Laguna Hills, CA 92653-5527 | 2012-06-29 |
| 1184984387 | La Paz Spine and Rehab Inc | Chiropractor | 25200 La Paz Rd Ste 102, Laguna Hills, CA 92653-5134 | 2012-05-22 |
| 1730478793 | Kathy Chi Kuan Wang | Chiropractor | 24953 Paseo De Valencia Ste 6a, Laguna Hills, CA 92653-4342 | 2011-03-30 |
| 1982926218 | Marjan Khorrami Chiropractic Wellness Inc | Chiropractor | 23412 Moulton Pkwy Ste 120, Laguna Hills, CA 92653-1743 | 2010-03-01 |
| 1518293604 | Matthew Nicholas Chang | Chiropractor | 25283 Cabot Rd Ste 109, Laguna Hills, CA 92653 | 2009-10-23 |
| 1689907099 | Rosenfeld Chiropractic Corp | Chiropractor | 25255 Cabot Rd Ste 110, Laguna Hills, CA 92653-5507 | 2009-09-16 |
| 1689830135 | Steven Jon Costales | Chiropractor | 24741 Alicia Pkwy Ste D, Laguna Hills, CA 92653-4613 | 2008-08-04 |
| 1841327020 | Timothy L Gooing | Chiropractor | 25260 E La Paz Rd, Ste #k, Laguna Hills, CA 92653 | 2007-02-27 |
| 1043367238 | Jerome Dizon Melad | Chiropractor | 25401 Cabot Rd Ste 112, Laguna Hills, CA 92653-5513 | 2007-01-03 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on MR. EDWARD JOHN REYNOLDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.