IndividualActive
Charles Fagenholz, DC
NPI 1841646809 · Independent Medical Examiner Chiropractor · Costa Mesa, CA
Provider details
- NPI number
- 1841646809
- Entity type
- Individual
- Primary specialty
- Independent Medical Examiner ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 33312 (CA)
Specialties & taxonomies
Chiropractic Providers
Practice location
3151 Airway Ave
U-3
Costa Mesa, CA 92626-4607
Phone: (714) 754-8008
Approximate (ZIP-level) locationGet directions
Mailing address
21264 Beach Blvd
Huntington Beach, CA 92648-5482
Registry dates
- Enumerated
- 2016-05-09
- Last updated
- 2016-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.