Provider Demographics
NPI:1356913792
Name:KRISTINA N BROWN CHIROPRACTIC APC
Entity type:Organization
Organization Name:KRISTINA N BROWN CHIROPRACTIC APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-307-2076
Mailing Address - Street 1:3614 PACIFIC COAST HWY STE E
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6020
Mailing Address - Country:US
Mailing Address - Phone:818-307-2076
Mailing Address - Fax:
Practice Address - Street 1:3614 PACIFIC COAST HWY STE E
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6020
Practice Address - Country:US
Practice Address - Phone:818-307-2076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty