Provider Demographics
NPI:1578645560
Name:HERTA CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:HERTA CHIROPRACTIC INC.
Other - Org Name:ALIGNED HEALTH CHIROPRACTIC & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HERTA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-255-5737
Mailing Address - Street 1:27009 BIG RAPIDS LOOP UNIT 38
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-2661
Mailing Address - Country:US
Mailing Address - Phone:661-255-5737
Mailing Address - Fax:661-255-5737
Practice Address - Street 1:27009 BIG RAPIDS LOOP UNIT 38
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91354-2661
Practice Address - Country:US
Practice Address - Phone:661-255-5737
Practice Address - Fax:661-255-5737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30274111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty