MEDICARE: SCOTT J. FOX, D.C. ,CALIFORNIA CHIROPRACTIC CORP.

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	DC15925	CA

General Provider Information

NPI Number	:	1568680627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT J. FOX, D.C. ,CALIFORNIA CHIROPRACTIC CORP.

Provider Business Mailing Address
First Line	:	1990 WESTWOOD BLVD
Second Line	:	SUITE 110
City	:	WEST LOS ANGELES
State	:	CA
Zip	:	90025-4650
Country	:	US
Telephone Number	:	310-475-3488
Fax Number	:	310-475-3574

Provider Business Practice Location Address
First Line	:	1990 WESTWOOD BLVD
Second Line	:	SUITE 110
City	:	WEST LOS ANGELES
State	:	CA
Zip	:	90025-4650
Country	:	US
Telephone Number	:	310-475-3488
Fax Number	:	310-475-3574

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SCOTT J FOX
Credential	:	D.C., Q.M.E.
Telephone Number	:	310-475-3488

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	08/22/2020

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