Provider Demographics
NPI:1568680627
Name:SCOTT J. FOX, D.C. ,CALIFORNIA CHIROPRACTIC CORP.
Entity Type:Organization
Organization Name:SCOTT J. FOX, D.C. ,CALIFORNIA CHIROPRACTIC CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:DC, QME
Authorized Official - Phone:310-475-3488
Mailing Address - Street 1:1990 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WEST LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-4650
Mailing Address - Country:US
Mailing Address - Phone:310-475-3488
Mailing Address - Fax:310-475-3574
Practice Address - Street 1:1990 WESTWOOD BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:WEST LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4650
Practice Address - Country:US
Practice Address - Phone:310-475-3488
Practice Address - Fax:310-475-3574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC15925111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty