MEDICARE: MEYER CHIROPRATIC

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	DC23554	CA
2	225100000X	Physical Therapist	PT29857	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BC23544	OTHER	CA	BLUE CROSS

General Provider Information

NPI Number	:	1609870088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEYER CHIROPRATIC

Provider Business Mailing Address
First Line	:	17401 VENTURA BLVD
Second Line	:	STE A29
City	:	ENCINO
State	:	CA
Zip	:	91316-3865
Country	:	US
Telephone Number	:	818-788-6817
Fax Number	:	818-464-0138

Provider Business Practice Location Address
First Line	:	17401 VENTURA BLVD
Second Line	:	STE A29
City	:	ENCINO
State	:	CA
Zip	:	91316-3865
Country	:	US
Telephone Number	:	818-788-6817
Fax Number	:	818-464-0138

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JASON MEYER
Credential	:	DC
Telephone Number	:	818-788-6817

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	09/11/2025

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Directions to “MEYER CHIROPRATIC ” Practice Location

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