Provider Demographics
NPI:1033910310
Name:KAISER COLE CHIROPRACTIC INC
Entity type:Organization
Organization Name:KAISER COLE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:KAISER-COLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-957-1207
Mailing Address - Street 1:2418 HONOLULU AVE STE M
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1842
Mailing Address - Country:US
Mailing Address - Phone:818-957-1207
Mailing Address - Fax:818-797-3048
Practice Address - Street 1:2418 HONOLULU AVE.
Practice Address - Street 2:SUITE M
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020
Practice Address - Country:US
Practice Address - Phone:818-957-1207
Practice Address - Fax:818-797-3048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty