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Organization
JORDAN B COHEN CHIROPRACTIC INC
Active
Organization
JORDAN B COHEN CHIROPRACTIC INC
Active
Other names
Revive Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN B COHEN DC (PRESIDENT)
(760) 963-9426
Entity
Organization
Contact information
Practice address
3120 S HACIENDA BLVD STE 102, HACIENDA HEIGHTS, CA 91745-6305
(909) 773-2510
(909) 775-5300
Mailing address
3120 S HACIENDA BLVD STE 102, HACIENDA HEIGHTS, CA 91745-6305
(909) 773-2510
(909) 775-5300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730615618
NPI TYPE 1
CA
Enumeration date
02/13/2023
Last updated
02/13/2023
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