Provider Demographics
NPI:1366524381
Name:BENJAMIN J RINALDO CHIROPRACTIC INC
Entity type:Organization
Organization Name:BENJAMIN J RINALDO CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:RINALDO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-855-1115
Mailing Address - Street 1:25272 MCINTYRE RD STE H
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-855-1115
Mailing Address - Fax:949-855-2026
Practice Address - Street 1:25272 MCINTYRE RD STE H
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-855-1115
Practice Address - Fax:949-855-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4631111N00000X
CAC19961111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC199610OtherBS
DC19961Medicare ID - Type Unspecified
DC199610OtherBS