Provider Demographics
NPI:1376694406
Name:JOCHEN CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:JOCHEN CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:JOCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-556-8071
Mailing Address - Street 1:9478 W. OLYMPIC BLVD
Mailing Address - Street 2:JOCHEN CHIROPRACTIC, #PH
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212
Mailing Address - Country:US
Mailing Address - Phone:310-556-8071
Mailing Address - Fax:310-556-3880
Practice Address - Street 1:9478 W. OLYMPIC BLVD
Practice Address - Street 2:JOCHEN CHIROPRACTIC, #PH
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212
Practice Address - Country:US
Practice Address - Phone:310-556-8071
Practice Address - Fax:310-556-3880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23534111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC23534Medicare PIN