Provider Demographics
NPI:1205144011
Name:YI, JAMES JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JEAN
Last Name:YI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13788 ROSWELL AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-1414
Mailing Address - Country:US
Mailing Address - Phone:909-464-2008
Mailing Address - Fax:
Practice Address - Street 1:13788 ROSWELL AVE STE 106
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-1414
Practice Address - Country:US
Practice Address - Phone:909-464-2008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31568111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1831408103OtherGROUP NPI