Provider Demographics
NPI:1962641688
Name:JOEY CO CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:JOEY CO CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:323-728-5347
Mailing Address - Street 1:19329 BALAN RD
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-4018
Mailing Address - Country:US
Mailing Address - Phone:323-728-5347
Mailing Address - Fax:323-872-5200
Practice Address - Street 1:2418 S GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7222
Practice Address - Country:US
Practice Address - Phone:323-728-5347
Practice Address - Fax:323-872-5200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28355305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service