Provider Demographics
NPI:1124197280
Name:ROSENFELD, JEFFRE BERNARD (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFRE
Middle Name:BERNARD
Last Name:ROSENFELD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6376 W 80TH PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-1439
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:310-393-0588
Practice Address - Street 1:720 WILSHIRE BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-1745
Practice Address - Country:US
Practice Address - Phone:310-395-5504
Practice Address - Fax:310-393-0588
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA17806111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor