Jean S. Collazo, D.C. Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26035 Issued in CA

Legal business name

JEAN S. COLLAZO, D.C. INC

Practice address

400 N Ford Blvd
Los Angeles, CA 90022-1122

Phone

(323) 262-9222

Fax

(323) 262-9261

NPI assigned

Jul 29, 2016

Organization subpart

No

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

Authorized official

Name

Jean S Collazo, D.C.

Title

Owner

Phone

(323) 262-9222

Specialties & licenses 1

Addresses

Tax ID family

Jean Collazo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jean Collazo

  • Chiropractor
  • Los Angeles, CA
  • NPI 1750773933
  NPD tax ID

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1235682907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N FORD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221122",
            "telephone_number": "323-262-9222",
            "fax_number": "323-262-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N FORD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221122",
            "telephone_number": "323-262-9222",
            "fax_number": "323-262-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN S. COLLAZO, D.C. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-262-9222",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marie Lee Kathleen Jean
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• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.