Provider Demographics
NPI:1396833133
Name:KACHANON-GREGORY CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:KACHANON-GREGORY CHIROPRACTIC INC.
Other - Org Name:FOCUS CHIRORPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KACHANON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-449-0900
Mailing Address - Street 1:236 W MOUNTAIN ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-2967
Mailing Address - Country:US
Mailing Address - Phone:626-444-9090
Mailing Address - Fax:626-449-0800
Practice Address - Street 1:236 W MOUNTAIN ST
Practice Address - Street 2:SUITE 107
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-2967
Practice Address - Country:US
Practice Address - Phone:626-444-9090
Practice Address - Fax:626-449-0800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29372111N00000X
CADC29435111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty