Kenslie McOmber, DC

Individual provider Active NPI Chiropractor · Los Angeles, CA

NPI 1982284089 · NPPES record last updated Apr 12, 2021

Key facts

NPI
1982284089
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
36052 (CA)
Practice address
8730 Santa Monica Blvd
Los Angeles, CA 90069-4547
Phone
(310) 652-3200
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Healthcare Inc Past
since Apr 20, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36052 CA Yes

Addresses

Primary practice location

8730 Santa Monica Blvd
Los Angeles, CA 90069-4547

Mailing address

7503 E White Oak RDG
Orange, CA 92869-4520
Phone (334) 202-7098

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Chiropractor in California

Sources for this page

Verify at the official NPI Registry.