Healthcare Provider Details

I. General information

NPI: 1598431124
Provider Name (Legal Business Name): JANI CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 BASELINE RD STE 230
RANCHO CUCAMONGA CA
91730-1300
US

IV. Provider business mailing address

12223 HIGHLAND AVE # 106-315
RANCHO CUCAMONGA CA
91739-2574
US

V. Phone/Fax

Practice location:
  • Phone: 909-727-3150
  • Fax:
Mailing address:
  • Phone: 909-727-3150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. MEERA JANI
Title or Position: OWNER
Credential: DC
Phone: 909-727-3150