MEDICARE: DR. JOHN SCRIBNER MCKEAN JR. D.C.

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	DC24170	CA

General Provider Information

NPI Number	:	1386727030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN SCRIBNER MCKEAN JR. D.C.

Provider Business Mailing Address
First Line	:	3367 GLENDALE BLVD.
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1825
Country	:	US
Telephone Number	:	323-661-4325
Fax Number	:	323-668-2206

Provider Business Practice Location Address
First Line	:	3367 GLENDALE BLVD.
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1825
Country	:	US
Telephone Number	:	323-661-4325
Fax Number	:	323-668-2206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	12/01/2011

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