Provider Demographics
NPI:1720100910
Name:KHREICH, JEAN-PIERRE (DC)
Entity type:Individual
Prefix:MR
First Name:JEAN-PIERRE
Middle Name:
Last Name:KHREICH
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 1:8015 ZUMA DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-5560
Mailing Address - Country:US
Mailing Address - Phone:714-898-9631
Mailing Address - Fax:714-969-1287
Practice Address - Street 1:15132 BOLSA CHICA ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-1025
Practice Address - Country:US
Practice Address - Phone:714-898-9631
Practice Address - Fax:714-969-1287
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor