Provider Demographics
NPI:1568487320
Name:KADEN, FRANK ERIK (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ERIK
Last Name:KADEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 GATES AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-1903
Mailing Address - Country:US
Mailing Address - Phone:310-251-0862
Mailing Address - Fax:310-937-3399
Practice Address - Street 1:1035 AVIATION BLVD
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-4023
Practice Address - Country:US
Practice Address - Phone:310-251-0862
Practice Address - Fax:310-937-3399
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25722111N00000X, 111NN1001X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0257220OtherBLUE SHIELD PROVIDER #
CA20-2212128OtherTAX IDENTIFICATION #
CAWDC25722BMedicare ID - Type UnspecifiedMEDICARE