Provider Demographics
NPI:1215041520
Name:DAN JARDIN CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:DAN JARDIN CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-516-5813
Mailing Address - Street 1:7351 BRENTWOOD BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2058
Mailing Address - Country:US
Mailing Address - Phone:925-516-5813
Mailing Address - Fax:925-516-5943
Practice Address - Street 1:7351 BRENTWOOD BLVD STE A
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2058
Practice Address - Country:US
Practice Address - Phone:925-516-5813
Practice Address - Fax:925-516-5943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty