Organization Active NPI

Julia R. Moen Chiropractic, Inc.

  • Chiropractor
  • Manhattan Beach, CA
National Provider Identifier
1245569359
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30843 Issued in CA
Legal business name
JULIA R. MOEN CHIROPRACTIC, INC.
Practice address
400 S. Sepulveda Blvd
Suite 247
Manhattan Beach, CA 90266
Phone
(310) 374-1952
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Dr. Julia R. Moen, D.C.
Title
President
Phone
(310) 374-1952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC30843 CA Primary

Addresses

Primary practice location

400 S. Sepulveda Blvd
Suite 247
Manhattan Beach, CA 90266

Mailing address

400 S. Sepulveda Blvd
247
Manhattan Beach, CA 90266
Phone (310) 347-1698

National Provider Directory

National Provider Directory

Locations

400 S Sepulveda Blvd
Ste 247
Manhattan Beach, CA 90266
Phone (310) 347-1698

510 N Prospect Ave
Ste 308
Redondo Beach, CA 90277
Phone (310) 351-7452

Practitioners & affiliated clinicians

Practitioners 2

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": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1245569359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S. SEPULVEDA BLVD",
            "address_2": "247",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "90266",
            "telephone_number": "310-347-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S. SEPULVEDA BLVD",
            "address_2": "SUITE 247",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "90266",
            "telephone_number": "310-374-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA R. MOEN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "MOEN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-374-1952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.