Healthcare Provider Details

I. General information

NPI: 1710150701
Provider Name (Legal Business Name): JAMES KEVIN HOGAN JR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4329 SEPULVEDA BLVD
CULVER CITY CA
90230-4715
US

IV. Provider business mailing address

1732 AVIATION BLVD # 219
REDONDO BEACH CA
90278-2810
US

V. Phone/Fax

Practice location:
  • Phone: 310-699-9299
  • Fax:
Mailing address:
  • Phone: 323-898-8964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC30436
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: