Individual provider Active NPI

Harold Joseph, Kenui Iseke II, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1003080680
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30855 Issued in CA
Practice address
5900 Wilshire Blvd FL 2
Los Angeles, CA 90036-5013
Phone
(323) 938-5575
Fax
(323) 938-5512
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30855 CA Primary

Addresses

Primary practice location

5900 Wilshire Blvd FL 2
Los Angeles, CA 90036-5013

Mailing address

2509 W Redondo Beach Blvd Apt 2
Gardena, CA 90249-4864
Phone (323) 363-0571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC30855CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Health Medical Clinic Current Accepting new patients
Yoshizaki Chiropractic Parternership LP Chiropractor Past Accepting new patients

Locations

3711 Long Beach Blvd
Ste 200
Long Beach, CA 90807
Phone (562) 426-2244

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1003080680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 W REDONDO BEACH BLVD APT 2",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494864",
            "telephone_number": "323-363-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 WILSHIRE BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365013",
            "telephone_number": "323-938-5575",
            "fax_number": "323-938-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISEKE",
        "first_name": "HAROLD",
        "middle_name": "JOSEPH, KENUI",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.