Chiroasis a Connolly Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROASIS A CONNOLLY CHIROPRACTIC CORPORATION

Practice address

4560 Admiralty Way
Suite 252
Marina del Rey, CA 90292-5423

Phone

(310) 306-4828

NPI assigned

Feb 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Connolly, D.C.

Title

President

Phone

(310) 306-4828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1104064849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "252",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "90292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 252",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-306-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROASIS A CONNOLLY CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-306-4828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Koblik Chen, MD
• Leian Chen, MD
• Tina San Cheng, O.D.
• Melissa Donfeld Cherry
• Missy Queenesther Childs
• Whitney Chitrakar, RN, IBCLC
• Ming Chiu, L. AC.
• Jennifer Lynn Choi, O.D., M.S.
• Justin Chow, PT
• Edward J. Chung, MD

• Chiropractor in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.