Provider Demographics
NPI:1447687546
Name:JAYS, HEIDI (DC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:JAYS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MACARTHUR PL
Mailing Address - Street 2:UNIT 908
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-6744
Mailing Address - Country:US
Mailing Address - Phone:844-366-6898
Mailing Address - Fax:844-578-6558
Practice Address - Street 1:17777 VENTURA BLVD STE 120
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3738
Practice Address - Country:US
Practice Address - Phone:818-654-8321
Practice Address - Fax:818-654-8321
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32610111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor