NPIMap

Organization Active NPI

Jean Collazo

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1750773933
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JEAN COLLAZO
Practice address
400 N Ford Blvd
Los Angeles, CA 90022-1122
Phone
(323) 262-9222
NPI assigned
Feb 25, 2015
Last updated
Feb 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Bridget I Dolan
Title
Office Manager
Phone
(323) 262-9222

Specialties & licenses 1

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

Addresses

Primary practice location

400 N Ford Blvd
Los Angeles, CA 90022-1122

Mailing address

400 N Ford Blvd
Los Angeles, CA 90022-1122
Phone (323) 262-9222

National Provider Directory

National Provider Directory
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.

Locations

400 N Ford Blvd
Los Angeles, CA 90022
Phone (323) 262-9222

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1750773933",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN COLLAZO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-262-9222"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 25, 2015; 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.