Provider Demographics
NPI:1720653454
Name:JEFF TIRSCH CHIROPRACTIC
Entity Type:Organization
Organization Name:JEFF TIRSCH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TYLEE
Authorized Official - Middle Name:G
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-288-3650
Mailing Address - Street 1:6400 CANOGA AVE STE 333
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2492
Mailing Address - Country:US
Mailing Address - Phone:818-703-8480
Mailing Address - Fax:818-703-9125
Practice Address - Street 1:6400 CANOGA AVE STE 333
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2492
Practice Address - Country:US
Practice Address - Phone:818-703-8480
Practice Address - Fax:818-703-9125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty