Provider Demographics
NPI:1003080680
Name:ISEKE, HAROLD JOSEPH, KENUI II (DC)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:JOSEPH, KENUI
Last Name:ISEKE
Suffix:II
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 1:2509 W REDONDO BEACH BLVD APT 2
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90249-4864
Mailing Address - Country:US
Mailing Address - Phone:323-363-0571
Mailing Address - Fax:
Practice Address - Street 1:5900 WILSHIRE BLVD FL 2
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-5013
Practice Address - Country:US
Practice Address - Phone:323-938-5575
Practice Address - Fax:323-938-5512
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor