Provider Demographics
NPI:1669520904
Name:PAALANI, JENNIFER K (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:K
Last Name:PAALANI
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:PO BOX 10672
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-0217
Mailing Address - Country:US
Mailing Address - Phone:714-957-6889
Mailing Address - Fax:
Practice Address - Street 1:1182 SE BRISTOL ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-5302
Practice Address - Country:US
Practice Address - Phone:714-957-6889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26791111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU98741Medicare UPIN
CAU98741Medicare ID - Type UnspecifiedMEDICARE ID