Provider Demographics
NPI:1962371898
Name:JUMA CHIROPRACTIC
Entity type:Organization
Organization Name:JUMA CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LATIFA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUMA-FATAH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:424-239-9906
Mailing Address - Street 1:16200 VENTURA BLVD STE 203A
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4634
Mailing Address - Country:US
Mailing Address - Phone:901-337-6723
Mailing Address - Fax:
Practice Address - Street 1:16200 VENTURA BLVD STE 203A
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4634
Practice Address - Country:US
Practice Address - Phone:901-337-6723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty