Healthcare Provider Details

I. General information

NPI: 1164355954
Provider Name (Legal Business Name): JORDAN LOEW PROFESSIONAL CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 SHOREHAM PL STE 175
SAN DIEGO CA
92122-5925
US

IV. Provider business mailing address

5151 SHOREHAM PL STE 175
SAN DIEGO CA
92122-5925
US

V. Phone/Fax

Practice location:
  • Phone: 858-558-3111
  • Fax: 858-558-3641
Mailing address:
  • Phone: 858-558-3111
  • Fax: 858-558-3641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JORDAN LOEWENSTEIN
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 858-558-3111