Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 19493 | CA |
NPI | 1093868382 |
---|---|
Provider Name | Dr. Jeffrey D. James |
First Address | Los Angeles, CA 90025-5337 |
Second Address | Los Angeles, CA 90025-5337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 07/07/2016 |