Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey Wayne Mallock, DC

Individual provider Chiropractor · NPI 1043010812

Jeffrey Wayne Mallock, DC is a Chiropractor in Tustin, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

17821 E 17th St Ste 250
Tustin, CA 92780
Phone: (714) 505-2093
Fax: (714) 573-0072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC17747 (CA)

Record details

NPI number1043010812
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 25, 2025

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