Provider Demographics
NPI:1326808940
Name:CHEW, JAYME (DC)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:
Last Name:CHEW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23310 WESTERN AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-1021
Mailing Address - Country:US
Mailing Address - Phone:916-519-3016
Mailing Address - Fax:
Practice Address - Street 1:12146 LAKEWOOD BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2658
Practice Address - Country:US
Practice Address - Phone:562-321-5225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36287111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor