Healthcare Provider Details

I. General information

NPI: 1558848127
Provider Name (Legal Business Name): JESSICA JAMES DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24564 HAWTHORNE BLVD STE 204
TORRANCE CA
90505-6854
US

IV. Provider business mailing address

415 N CAMDEN DR STE 204
BEVERLY HILLS CA
90210-4438
US

V. Phone/Fax

Practice location:
  • Phone: 310-957-9065
  • Fax:
Mailing address:
  • Phone: 310-957-9065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34048
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: