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PAUL DANTE JACOY DC INC. NPI 1831250190


NPI Information

NPI: 1831250190
Provider Name: PAUL DANTE JACOY, DC INC.

Doing Business As: PASADENA CHIROPRACTIC CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
610 N LAKE AVE
PASADENA, CA
ZIP 91101
Phone: (626) 585-1616
Get Directions

PAUL DANTE JACOY, DC INC. is a chiropractor in Pasadena, CA. The provider is 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. PAUL DANTE JACOY, DC INC. NPI is 1831250190. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pasadena Chiropractic Clinic.

The provider's business location address is:

610 N LAKE AVE
PASADENA, CA
ZIP 91101-220
Phone: (626) 585-1616
Fax: (626) 585-1686

The provider's authorized official is Paul Dante Jacoy .
The authorized official title is Owner and has the following contact phone number (626) 585-1616.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 6/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BC783AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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