Provider Demographics
NPI:1184081671
Name:JEANNIE H. CHAU'S RAINBOW CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:JEANNIE H. CHAU'S RAINBOW CHIROPRACTIC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:909-777-3453
Mailing Address - Street 1:930 S MOUNT VERNON AVE STE 90
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3928
Mailing Address - Country:US
Mailing Address - Phone:909-777-3453
Mailing Address - Fax:
Practice Address - Street 1:930 S MOUNT VERNON AVE STE 90
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3928
Practice Address - Country:US
Practice Address - Phone:909-777-3453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty