Jordan B Cohen Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JORDAN B COHEN CHIROPRACTIC INC

Practice address

3120 S Hacienda Blvd Ste 102
Hacienda Heights, CA 91745-6305

Phone

(909) 773-2510

Fax

(909) 775-5300

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jordan B Cohen, DCNPI 1730615618

Title

President

Phone

(760) 963-9426

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Revive Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Bernard Cohen, DC

  • Chiropractor
  • Hacienda Heights, CA
  • NPI 1730615618
  NPD Authorized official

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1356048060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 S HACIENDA BLVD STE 102",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456305",
            "telephone_number": "909-773-2510",
            "fax_number": "909-775-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S HACIENDA BLVD STE 102",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456305",
            "telephone_number": "909-773-2510",
            "fax_number": "909-775-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN B COHEN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-963-9426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1730615618",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Jaekwan Jo, D.D.S., M.S.
• Nicole Johanson
• John Hsieh, Ms, PT, DC, Ca
• Shirley Johnson
• Shawna Jones
• Sandra Min Lit Jorgensen, MPH,RD,CDE
• Destiny Juarez
• JWCH Institute, Inc
• K. C. Medivans Inc
• Sam Sheung Tsam Kam, M.D., PH.D.

• Chiropractor in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.