Healthcare Provider Details

I. General information

NPI: 1881566537
Provider Name (Legal Business Name): JORDAN RICHARD SAYEGH DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 E HUNTINGTON DR
ARCADIA CA
91006-3212
US

IV. Provider business mailing address

131 E HUNTINGTON DR
ARCADIA CA
91006-3212
US

V. Phone/Fax

Practice location:
  • Phone: 626-445-0326
  • Fax:
Mailing address:
  • Phone: 626-445-0326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number37301
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: