Provider Demographics
NPI:1548472046
Name:JAROCINSKI, JOHN J JR (DC, MUAC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:JAROCINSKI
Suffix:JR
Gender:M
Credentials:DC, MUAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S. PACIFIC COAST HWY.
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277
Mailing Address - Country:US
Mailing Address - Phone:310-404-3856
Mailing Address - Fax:310-543-7766
Practice Address - Street 1:800 S. PACIFIC COAST HWY.
Practice Address - Street 2:SUITE 6B
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277
Practice Address - Country:US
Practice Address - Phone:310-543-7766
Practice Address - Fax:310-543-7766
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24147111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor