Healthcare Provider Details

I. General information

NPI: 1992824700
Provider Name (Legal Business Name): FRANK E KADEN D C CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 12/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 AVIATION BLVD
HERMOSA BEACH CA
90254-4023
US

IV. Provider business mailing address

1912 GATES AVE #B
REDONDO BEACH CA
90278-1903
US

V. Phone/Fax

Practice location:
  • Phone: 310-937-2323
  • Fax: 310-937-3399
Mailing address:
  • Phone: 310-251-0862
  • Fax: 310-937-3399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25722
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberDC25722
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC25722
License Number StateCA

VIII. Authorized Official

Name: DR. FRANK ERIK KADEN
Title or Position: OWNER DOCTOR
Credential: DC
Phone: 310-937-2323