MEDICARE: THOMAS E. HARVEY CHIROPRACTIC CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC24880	CA

General Provider Information

NPI Number	:	1245440114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS E. HARVEY CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	421 N FREDERIC ST
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-3235
Country	:	US
Telephone Number	:	818-842-0525
Fax Number	:

Provider Business Practice Location Address
First Line	:	10730 RIVERSIDE DR
Second Line	:	SUITE A
City	:	TOLUCA LAKE
State	:	CA
Zip	:	91602-2313
Country	:	US
Telephone Number	:	818-506-3040
Fax Number	:	818-506-3058

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS EDWARD HARVEY
Credential	:	D.C.
Telephone Number	:	818-506-3040

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	08/22/2020

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