Provider Demographics
NPI:1477804490
Name:BLOCH, KAREN S (DC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:BLOCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6324 E PACIFIC COAST HWY STE C
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-4841
Mailing Address - Country:US
Mailing Address - Phone:562-493-5600
Mailing Address - Fax:562-493-5658
Practice Address - Street 1:6324 E PACIFIC COAST HWY STE C
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-4841
Practice Address - Country:US
Practice Address - Phone:562-493-5600
Practice Address - Fax:562-493-5658
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor