Provider Demographics
NPI:1164782264
Name:HANDLEN, JENNA (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNA
Middle Name:
Last Name:HANDLEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:NALBANDIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 S. SEPULVEDA BLVD
Mailing Address - Street 2:SUITE #247
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266
Mailing Address - Country:US
Mailing Address - Phone:310-798-6496
Mailing Address - Fax:
Practice Address - Street 1:400 S. SEPULVEDA BLVD
Practice Address - Street 2:SUITE #247
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266
Practice Address - Country:US
Practice Address - Phone:310-798-6496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16687171100000X
CA32315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist