Healthcare Provider Details

I. General information

NPI: 1013125210
Provider Name (Legal Business Name): NATIONAL CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 H ST
BAKERSFIELD CA
93301-1913
US

IV. Provider business mailing address

2821 H ST
BAKERSFIELD CA
93301-1913
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-7500
  • Fax: 661-322-7510
Mailing address:
  • Phone: 661-322-7500
  • Fax: 661-322-7510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC0286841
License Number StateCA

VIII. Authorized Official

Name: DARREN KALANJ
Title or Position: PRESIDENT
Credential: D.C.
Phone: 661-322-7500