MEDICARE: CHRISTOPHER JOHN BERNIER CHIROPRACTIC,INC

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	DC31504	CA

General Provider Information

NPI Number	:	1760752067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER JOHN BERNIER CHIROPRACTIC,INC

Provider Business Mailing Address
First Line	:	6320 COMMODORE SLOAT DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5453
Country	:	US
Telephone Number	:	323-935-3420
Fax Number	:	323-935-5933

Provider Business Practice Location Address
First Line	:	6320 COMMODORE SLOAT DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5453
Country	:	US
Telephone Number	:	323-935-3420
Fax Number	:	323-935-5933

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTOPHER JOHN BERNIER
Credential	:	D.C.
Telephone Number	:	310-903-7502

Provider Enumeration Date	:	01/04/2012
Last Update Date	:	05/24/2012

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