Provider Demographics
NPI:1386700581
Name:STORTS, FRANK (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:STORTS
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 1:11234 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-1436
Mailing Address - Country:US
Mailing Address - Phone:562-695-7759
Mailing Address - Fax:562-695-4057
Practice Address - Street 1:11234 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-1436
Practice Address - Country:US
Practice Address - Phone:562-695-7759
Practice Address - Fax:562-695-4057
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16545111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0165450Medicaid
CADC0165450Medicaid
CAU08295Medicare UPIN