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NPI Code Detail

MEDICARE: DR. DENISE MICHELLE JONES D.C.

MEDICARE: DR. DENISE MICHELLE JONES D.C.
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
1111NS0005XSports Physician ChiropractorDC27990CA

General Provider Information

NPI Number : 1396826426
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENISE MICHELLE JONES D.C.
Provider Business Mailing Address
First Line : 3835 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-5303
Country : US
Telephone Number : 562-434-5656
Fax Number : 562-930-1308
Provider Business Practice Location Address
First Line : 3835 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-5303
Country : US
Telephone Number : 562-434-5656
Fax Number : 562-930-1308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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