Provider Demographics
NPI:1659861979
Name:JOVEL CHIROPRACTIC INC
Entity Type:Organization
Organization Name:JOVEL CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:JOVEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-443-0707
Mailing Address - Street 1:14591 NEWPORT AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-6027
Mailing Address - Country:US
Mailing Address - Phone:714-443-0707
Mailing Address - Fax:
Practice Address - Street 1:14591 NEWPORT AVE STE 200
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-6027
Practice Address - Country:US
Practice Address - Phone:714-443-0707
Practice Address - Fax:714-443-0177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33197111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty