Provider Demographics
NPI:1306013198
Name:KALANI G. JOSE, CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:KALANI G. JOSE, CHIROPRACTIC INC.
Other - Org Name:KALANI FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:SAVITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-604-0881
Mailing Address - Street 1:2100 OUTLET CENTER DR
Mailing Address - Street 2:SUITE 330
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0612
Mailing Address - Country:US
Mailing Address - Phone:805-604-0881
Mailing Address - Fax:805-604-0883
Practice Address - Street 1:2100 OUTLET CENTER DR
Practice Address - Street 2:SUITE 330
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0612
Practice Address - Country:US
Practice Address - Phone:805-604-0881
Practice Address - Fax:805-604-0883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 25976111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty