DR. Brandon Antonissen, DC

NPI #1063991354 in Aliso Viejo, California

Provider Information

NPI Number: 1063991354
Entity Type: Individual
Name: DR. Brandon Antonissen, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Aug 8, 2018
Last Updated: Jul 26, 2019

Practice Location

Address: 5 JOURNEY STE 100
City: Aliso Viejo
State: California
ZIP Code: 92656-5330
Phone: (949) 228-1147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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