Organization Active NPI

Katlein Professional Chiropractic Corporation

  • Chiropractor
  • Studio City, CA
National Provider Identifier
1003011289
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28386 Issued in CA
Legal business name
KATLEIN PROFESSIONAL CHIROPRACTIC CORPORATION
Practice address
12080 Ventura PL
Ste B
Studio City, CA 91604-2632
Phone
(818) 985-5500
Fax
(818) 985-5502
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey David Katlein, DCNPI 1982715116
Title
President
Phone
(818) 985-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC28386 CA Primary

Addresses

Primary practice location

12080 Ventura PL
Ste B
Studio City, CA 91604-2632

Mailing address

12080 Ventura PL
Ste B
Studio City, CA 91604-2632
Phone (818) 985-5500

National Provider Directory

National Provider Directory

Locations

12080 Ventura Pl
Ste B
Studio City, CA 91604
Phone (818) 985-5500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1003011289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12080 VENTURA PL",
            "address_2": "STE B",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042632",
            "telephone_number": "818-985-5500",
            "fax_number": "818-985-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12080 VENTURA PL",
            "address_2": "STE B",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042632",
            "telephone_number": "818-985-5500",
            "fax_number": "818-985-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATLEIN PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "KATLEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-985-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.