Provider Demographics
NPI:1932357753
Name:FRANKS, JON D (DC)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:D
Last Name:FRANKS
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 1:6404 WILSHIRE BLVD STE 1108
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5513
Mailing Address - Country:US
Mailing Address - Phone:310-592-5479
Mailing Address - Fax:818-887-0519
Practice Address - Street 1:6404 WILSHIRE BLVD STE 1108
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5513
Practice Address - Country:US
Practice Address - Phone:310-592-5479
Practice Address - Fax:818-887-0519
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14916111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC14916OtherDC14916