Provider Demographics
NPI:1518633494
Name:COHEN, CHEN, HANNA CHIROPRACTIC AND ACUPUNCTURE, INC
Entity Type:Organization
Organization Name:COHEN, CHEN, HANNA CHIROPRACTIC AND ACUPUNCTURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-838-3868
Mailing Address - Street 1:968 N GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-2045
Mailing Address - Country:US
Mailing Address - Phone:626-838-3868
Mailing Address - Fax:714-839-8145
Practice Address - Street 1:968 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-2045
Practice Address - Country:US
Practice Address - Phone:626-838-3868
Practice Address - Fax:714-839-8145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty