Individual provider · Type 1 NPI
Diane Marie Jordan, DC
Chiropractor · Redondo Beach, CA
NPI number
1972793347
Active
Practice location
1848 S Elena Ave, Suite D
Redondo Beach, CA 90277-5710
Fax (310) 375-5184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC14413 (CA) |
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.
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About NPI 1972793347
Diane Marie Jordan, DC's National Provider Identifier is 1972793347, issued on Jul 31, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Redondo Beach, CA. The record was last updated on Jul 31, 2007.