Provider Demographics
NPI:1003189895
Name:ORDONA, JOSEPH CHARLES GONZALES (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH CHARLES
Middle Name:GONZALES
Last Name:ORDONA
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 1:813 ALPINE ST APT 315
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-6410
Mailing Address - Country:US
Mailing Address - Phone:310-592-0529
Mailing Address - Fax:
Practice Address - Street 1:350 S LAKE AVE
Practice Address - Street 2:SUITE 280
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-3530
Practice Address - Country:US
Practice Address - Phone:626-449-8314
Practice Address - Fax:626-449-6915
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor