Cedar Chiropractic, Dr. Johnny Mansour, D.C., Prof. Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC25895 Issued in CA

Legal business name

CEDAR CHIROPRACTIC, DR. JOHNNY MANSOUR, D.C., PROF. CORP

Practice address

1801 Excise Ave
Suite 109
Ontario, CA 91761-8554

Phone

(909) 937-6767

Fax

(909) 937-0353

NPI assigned

Mar 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Johnny Mansour, D.C.

Title

Clinic Director

Phone

(909) 937-6767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1992945844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 EXCISE AVE",
            "address_2": "SUITE 109",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618554",
            "telephone_number": "909-937-6767",
            "fax_number": "909-937-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 EXCISE AVE",
            "address_2": "SUITE 109",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618554",
            "telephone_number": "909-937-6767",
            "fax_number": "909-937-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CHIROPRACTIC, DR. JOHNNY MANSOUR, D.C., PROF. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "909-937-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC25895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Caviness
• Christina Cazares, MSW
• Claudia Lorena Ceballos, M.S., C.C.C.
• Jacquelyn Noel Ceballos
• Sarah Cebreros
• Cedar Medical Group, Inc.
• Cedar Pointe Chiropractic Group Alam Inc
• Cedar Pointe Medical Group Inc
• Fatoumatta Ceesay
• Vanessa Ceja Estrada

• Clinic/Center in Ontario, CA
• Providers in Ontario, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.