JORDAN CHIROPRACTIC CORP. (NPI# 1740432111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740432111 |
| Entity Type | Organization |
| Organization Name | JORDAN CHIROPRACTIC CORP. |
| Other Organization Name | THE BACKCENTER |
| Practice Address |
819 N Harbor Dr Suite A-100 Redondo Beach CA 90277-2006 |
| Practice Telephone | 3109372600 |
| Practice Fax Number | 3109372603 |
| Mailing Telephone | 3109372600 |
| Mailing Fax Number | 3109372603 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | JEFFREY SCOTT JORDAN (PRESIDENT) |
| Authorized Official Telephone | 3109372600 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 24148 | CA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| THE BACKCENTER | Doing Business As Name - Organization |
| Street Address |
819 N HARBOR DR SUITE A-100 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881608909 | Allen Hermann Peters | Preventive Medicine | 819 N Harbor Dr, Suite 310, Redondo Beach, CA 90277-2006 | 2006-07-27 |
| 1649560053 | Michael Timothy Donohue | Chiropractor | 819 N Harbor Dr, Redondo Beach, CA 90277-2006 | 2011-04-19 |
| 1336321520 | Nourishing Wellness Inc | Internal Medicine | 819 N Harbor Dr, Suite 310, Redondo Beach, CA 90277-2006 | 2007-11-29 |
| 1740354497 | Frank John Navratil Jr. | Chiropractor | 819 N Harbor Dr, Redondo Beach, CA 90277 | 2006-11-17 |
| 1982797593 | Sanusi Hambali Umar | Dermatology | 819 N Harbor Dr, Suite 400, Redondo Beach, CA 90277-2006 | 2006-10-02 |
| 1659462802 | Ronald L Attrell | Social Worker | 819 N Harbor Dr, Suite 330, Redondo Beach, CA 90277-2006 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902334 | Nathan Luczynski | Chiropractor | 1603 Aviation Blvd Ste 12, Redondo Beach, CA 90278-2856 | 2020-05-05 |
| 1134610710 | Kristin Palase | Chiropractor | 527 Calle Mayor, Redondo Beach, CA 90277-6420 | 2018-05-19 |
| 1730540295 | Tyler Keith Clark | Chiropractor | 819 N Harbor Dr Ste 100, Redondo Beach, CA 90277-2086 | 2016-03-11 |
| 1558736645 | Stephen Scully | Chiropractor | 333 Palos Verdes Blvd Apt 31, Redondo Beach, CA 90277-6322 | 2015-12-01 |
| 1952773624 | Dibagohar Chiropractic, A Professional Corporation | Chiropractor | 403 North Pacific Coast Highway, 201, Redondo Beach, CA 90277-2839 | 2015-10-21 |
| 1396133070 | Liesel G Orend | Chiropractor | 2009 Artesia Blvd, Suite B, Redondo Beach, CA 90278-3074 | 2015-01-02 |
| 1790184562 | Amanda Stanuszek | Chiropractor | 1300 S Pacific Coast Hwy Ste 201, Redondo Beach, CA 90277-5003 | 2014-08-18 |
| 1619380730 | Sabrina Saldana Quinene | Chiropractor | 1926 S Pacific Coast Hwy Ste 207, Redondo Beach, CA 90277-6145 | 2014-06-05 |
| 1427394014 | John Baptist Conca | Chiropractor | 1807 So. Catalina Ave, Redondo Beach, CA 90277 | 2012-12-31 |
| 1861764490 | Homan Dibagohar Dc A Professional Chiropractic S Corporation | Chiropractor | 403 N Pacific Coast Hwy Ste 201, Redondo Beach, CA 90277-2882 | 2012-01-27 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.