Healthcare Provider Details

I. General information

NPI: 1437952199
Provider Name (Legal Business Name): CHLOE HAILE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12833 VENTURA BLVD UNIT 153
STUDIO CITY CA
91604-2368
US

IV. Provider business mailing address

3682 BARHAM BLVD APT J103
LOS ANGELES CA
90068-1184
US

V. Phone/Fax

Practice location:
  • Phone: 323-826-5277
  • Fax:
Mailing address:
  • Phone: 928-920-2531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37271
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: