Provider Demographics
NPI:1215252176
Name:HARDIN, RACHEL O (DC)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:O
Last Name:HARDIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24445 RUE DE MONET
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-6100
Mailing Address - Country:US
Mailing Address - Phone:310-634-6562
Mailing Address - Fax:
Practice Address - Street 1:24445 RUE DE MONET
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-6100
Practice Address - Country:US
Practice Address - Phone:310-634-6562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31318111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor