Provider Demographics
NPI:1639346711
Name:ADVANCED CHIROPRACTIC OFFICES
Entity Type:Organization
Organization Name:ADVANCED CHIROPRACTIC OFFICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-841-8393
Mailing Address - Street 1:1124 N HOLLYWOOD WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2527
Mailing Address - Country:US
Mailing Address - Phone:818-841-8393
Mailing Address - Fax:
Practice Address - Street 1:1124 N HOLLYWOOD WAY
Practice Address - Street 2:SUITE A
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2527
Practice Address - Country:US
Practice Address - Phone:818-841-8393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty