Provider Demographics
NPI:1992824700
Name:FRANK E KADEN D C CHIROPRACTIC INC
Entity Type:Organization
Organization Name:FRANK E KADEN D C CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:ERIK
Authorized Official - Last Name:KADEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-937-2323
Mailing Address - Street 1:1912 GATES AVE
Mailing Address - Street 2:#B
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-1903
Mailing Address - Country:US
Mailing Address - Phone:310-251-0862
Mailing Address - Fax:310-937-3399
Practice Address - Street 1:1035 AVIATION BLVD
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-4023
Practice Address - Country:US
Practice Address - Phone:310-937-2323
Practice Address - Fax:310-937-3399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25722111N00000X, 111NN1001X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0257220OtherBLUE SHIELD
CADC0257220OtherBLUE SHIELD