Provider Demographics
NPI:1124135959
Name:PIRMANN, JOEL RICHARDS (DC)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:RICHARDS
Last Name:PIRMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 REYNOLDS AVE
Mailing Address - Street 2:102
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5559
Mailing Address - Country:US
Mailing Address - Phone:949-251-0154
Mailing Address - Fax:
Practice Address - Street 1:1400 REYNOLDS AVE
Practice Address - Street 2:102
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5559
Practice Address - Country:US
Practice Address - Phone:949-251-0154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27510111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA90-0243672OtherFEDERAL TAX ID
CA$$$$$$$$$OtherSOCIAL SECURITY NUMBER
CA1073869301Medicare NSC