Provider Demographics
NPI:1538496047
Name:JAHDAI-BROWN, NYA (DC)
Entity Type:Individual
Prefix:DR
First Name:NYA
Middle Name:
Last Name:JAHDAI-BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:LAQUIS
Other - Last Name:SCANTLEBURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8950 W OLYMPIC BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3576
Mailing Address - Country:US
Mailing Address - Phone:424-253-8573
Mailing Address - Fax:310-786-9268
Practice Address - Street 1:8950 W OLYMPIC BLVD STE 206
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3576
Practice Address - Country:US
Practice Address - Phone:424-253-8573
Practice Address - Fax:310-786-9268
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008532111N00000X
CA33121111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty