Healthcare Provider Details

I. General information

NPI: 1073730941
Provider Name (Legal Business Name): HERBERT CHIROPRACTIC OFFICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3730 PONTIAC AVE
JURUPA VALLEY CA
92509-4439
US

IV. Provider business mailing address

3730 PONTIAC AVE
RIVERSIDE CA
92509-4439
US

V. Phone/Fax

Practice location:
  • Phone: 951-683-4935
  • Fax: 951-684-1551
Mailing address:
  • Phone: 951-683-4935
  • Fax: 951-684-1551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11928
License Number StateCA

VIII. Authorized Official

Name: DOUGLAS D HERBERT
Title or Position: OWNER
Credential: DC
Phone: 951-683-4935