Healthcare Provider Details

I. General information

NPI: 1942261284
Provider Name (Legal Business Name): ROSIELEE ARTEMESE JONES D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 10/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16555 SHERMAN WAY SUITE C
LAKE BALBOA CA
91406-3781
US

IV. Provider business mailing address

16555 SHERMAN WAY SUITE C
LAKE BALBOA CA
91406-3781
US

V. Phone/Fax

Practice location:
  • Phone: 818-782-0022
  • Fax: 818-782-0052
Mailing address:
  • Phone: 818-782-0022
  • Fax: 818-782-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC13562
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: