Provider Demographics
NPI:1003981523
Name:ADRIAN KOROL CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:ADRIAN KOROL CHIROPRACTIC CORPORATION
Other - Org Name:DROBOT & KOROL A CHIROPRACTIC CORPORATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:JULIAN
Authorized Official - Last Name:KOROL
Authorized Official - Suffix:
Authorized Official - Credentials:DC DOCTOR OF CHIROPR
Authorized Official - Phone:310-374-7482
Mailing Address - Street 1:234 SOUTH PCH
Mailing Address - Street 2:SUITE 202
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277
Mailing Address - Country:US
Mailing Address - Phone:310-374-7482
Mailing Address - Fax:310-372-2932
Practice Address - Street 1:234 SOUTH PCH
Practice Address - Street 2:SUITE 202
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277
Practice Address - Country:US
Practice Address - Phone:310-374-7482
Practice Address - Fax:310-372-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty