Provider Demographics
NPI:1386647451
Name:STRYKER, STEVEN S (DC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:S
Last Name:STRYKER
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 1:5241 LAMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-1953
Mailing Address - Country:US
Mailing Address - Phone:714-379-3311
Mailing Address - Fax:714-379-3313
Practice Address - Street 1:5241 LAMPSON AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-1953
Practice Address - Country:US
Practice Address - Phone:714-379-3311
Practice Address - Fax:714-379-3313
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0215250OtherBLUE SHIELD
CAU26079Medicare UPIN
CADC0215250OtherBLUE SHIELD