Eric Yu Chiropractic Corp, a Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC30074 Issued in CA

Legal business name

ERIC YU CHIROPRACTIC CORP, A PROFESSIONAL CORPORATION

Doing business as

Pro-Active Wellness Center

Practice address

2310 Artesia Blvd
Redondo Beach, CA 90278-3114

Phone

(310) 372-2063

Fax

(310) 379-5748

NPI assigned

Jul 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric CHI-Hyuk Yu, D.C.

Title

President

Phone

(310) 372-2063

Specialties & licenses 1

Addresses

Other names 1

• Pro-Active Wellness Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1043410350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783114",
            "telephone_number": "310-372-2063",
            "fax_number": "310-379-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783114",
            "telephone_number": "310-372-2063",
            "fax_number": "310-379-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC YU CHIROPRACTIC CORP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CHI-HYUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-372-2063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro-Active Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.