Organization Active NPI

Jill Ruesch-Lane, D.C. a Professional Chiropractic Corporation

  • Rehabilitation Chiropractor
  • Los Angeles, CA
National Provider Identifier
1306474242
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
JILL RUESCH-LANE, D.C. A PROFESSIONAL CHIROPRACTIC CORPORATION
Practice address
6404 Wilshire Blvd Ste 701
Los Angeles, CA 90048-5509
Phone
(323) 841-6507
Fax
(323) 653-2720
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Dr. Jill Ruesch-Lane, D.C.
Title
Ceo
Phone
(323) 841-6507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

6404 Wilshire Blvd Ste 701
Los Angeles, CA 90048-5509

Mailing address

6404 Wilshire Blvd Ste 701
Los Angeles, CA 90048-5509
Phone (323) 841-6507

Other names 1

  • Jill Ruesch-Lane, D.C. A Professional Chiropractic Corporation Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1306474242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 WILSHIRE BLVD STE 701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485509",
            "telephone_number": "323-841-6507",
            "fax_number": "323-653-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 WILSHIRE BLVD STE 701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485509",
            "telephone_number": "323-841-6507",
            "fax_number": "323-653-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL RUESCH-LANE, D.C. A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "RUESCH-LANE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-841-6507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jill Ruesch-Lane, D.C. A Professional Chiropractic Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 27, 2020; 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.