Provider Demographics
NPI:1487478673
Name:JESS J SORIA III DOCTOR OF CHIROPRACTIC INC.
Entity type:Organization
Organization Name:JESS J SORIA III DOCTOR OF CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESS J
Authorized Official - Middle Name:J
Authorized Official - Last Name:SORIA
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:562-924-5009
Mailing Address - Street 1:19112 GRIDLEY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-6614
Mailing Address - Country:US
Mailing Address - Phone:562-924-5009
Mailing Address - Fax:
Practice Address - Street 1:19112 GRIDLEY RD STE 102
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-6614
Practice Address - Country:US
Practice Address - Phone:562-924-5009
Practice Address - Fax:562-924-5009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty