Diane Marie Jordan in Redondo Beach - Chiropractor

Diane Marie Jordan - NPI 1972793347

Diane Marie Jordan is a Chiropractor in Redondo Beach, California. Diane Marie Jordan practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Diane Marie Jordan is 1972793347. The last update date is 2007-07-31.

Diane Marie Jordan's current location address is 1848 S Elena Ave, Redondo Beach, California. You can contact this provider via phone number 3103754039 and fax number 3103755184. The mailing address for Diane Marie Jordan is 1848 S Elena Ave, Redondo Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane Marie Jordan
Address 1848 S Elena Ave, Redondo Beach, California
Phone Number 3103754039
Fax Number 3103755184
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1972793347
Provider Enumeration Date 2007-07-31
Last Updated Date 2007-07-31

Provider Mailing Address Detail

Address 1848 S Elena Ave
City Redondo Beach
State California (CA)
Post Code 902775710
Phone Number 3103754039
Fax Number 3103755184

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DC14413
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Diane Marie Jordan

What is the unique 10-digit identifier code issued to Diane Marie Jordan by the Centers for Medicare & Medicaid Services?

The Diane Marie Jordan has been assigned the NPI (National Provider Identifier) 1972793347 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Diane Marie Jordan is physically located?

The Diane Marie Jordan is situated at the following address: 1848 S Elena Ave, Redondo Beach, CA 902775710.

What is Diane Marie Jordan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Diane Marie Jordan's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

On what date did Diane Marie Jordan receive its 1972793347 assignment from the Centers for Medicare & Medicaid Services?

The Diane Marie Jordan was assigned its 1972793347 on 2007-07-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Diane Marie Jordan most recently updated or refreshed?

The details pertaining to the Diane Marie Jordan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-31.

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