MEDICARE: DR. JIAN J MA M.D., DC, D.A.C.B.R

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	26570	CA
2	207Q00000X	Family Medicine Physician	A97176	CA

General Provider Information

NPI Number	:	1265658017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIAN J MA M.D., DC, D.A.C.B.R

Provider Business Mailing Address
First Line	:	150 S BEACH BLVD APT 281
Second Line	:
City	:	LA HABRA
State	:	CA
Zip	:	90631-5174
Country	:	US
Telephone Number	:	562-697-5818
Fax Number	:	562-697-5818

Provider Business Practice Location Address
First Line	:	12291 WASHINGTON BLVD STE 500
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90606-2551
Country	:	US
Telephone Number	:	562-698-2541
Fax Number	:	562-698-0010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	09/11/2025

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