Provider Demographics
NPI:1497929129
Name:MATOCK, CHRISTOPHER JASON (DC, CCSP)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JASON
Last Name:MATOCK
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 LENNON LANE SUITE 225
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598
Mailing Address - Country:US
Mailing Address - Phone:925-322-8074
Mailing Address - Fax:925-322-8071
Practice Address - Street 1:355 LENNON LANE SUITE 225
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598
Practice Address - Country:US
Practice Address - Phone:925-322-8074
Practice Address - Fax:925-322-8071
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor