MEDICARE: HERBERT CHIROPRACTIC OFFICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	11928	CA

General Provider Information

NPI Number	:	1073730941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERBERT CHIROPRACTIC OFFICES

Provider Business Mailing Address
First Line	:	3730 PONTIAC AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92509-4439
Country	:	US
Telephone Number	:	951-683-4935
Fax Number	:	951-684-1551

Provider Business Practice Location Address
First Line	:	3730 PONTIAC AVE
Second Line	:
City	:	JURUPA VALLEY
State	:	CA
Zip	:	92509-4439
Country	:	US
Telephone Number	:	951-683-4935
Fax Number	:	951-684-1551

Authorized Official
Title or Position	:	OWNER
Name	:	DOUGLAS D HERBERT
Credential	:	DC
Telephone Number	:	951-683-4935

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	10/07/2025

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