Colonial Chiropractic
Chiropractor in North Hollywood, CA. Organization (NPI-2).
NPI number1104526151
StatusActive
Last updated in NPPESMar 15, 2023
Details
- NPI
- 1104526151
- Entity type
- Organization (NPI-2)
- Legal business name
- Colonial Chiropractic
- Organization subpart
- No
- Enumeration date
- Mar 8, 2023
- Certification date
- Mar 15, 2023
- Last updated
- Mar 15, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
11000 Riverside DrNorth Hollywood, CA 91602-2197
Phone 818-769-1791 · Fax 818-506-8562
Mailing address
11000 Riverside DrNorth Hollywood, CA 91602-2197
Phone 818-769-1791 · Fax 818-506-8562
Authorized official
Carl Curtis Howard
Owner
8187691791
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