Greenlife Wellness

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

27175 Issued in CA

Legal business name

GREENLIFE WELLNESS

Practice address

18340 Colima Rd Ste 2D
Rowland Heights, CA 91748-2785

Phone

(626) 297-2340

NPI assigned

May 11, 2009

Last updated

May 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derrick Tang, D.C.

Title

Clinic Director

Phone

(626) 297-2340

Specialties & licenses 3

Addresses

Tax ID family

Greenlife Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greenlife Wellness

  • Orthopedic Chiropractor
  • Rosemead, CA
  • NPI 1083848881
  NPD tax ID

Locations

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1063646727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18340 COLIMA RD STE 2D",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18340 COLIMA RD STE 2D",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482785",
            "telephone_number": "626-297-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLIFE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "626-297-2340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "27175",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "27175",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "27175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gospel Light Bible Church (Gospel Light Acupuncture)
• Grace Health Inc (Eastland Pharmacy)
• Josieca Gray, PPS SCHOOL COUNSELIN
• Greenleaf Dental Spa
• Nicole Groschup
• Xiuqiong Gu
• James Guan
• Tiffany Guan
• Johnathan Guardado

• Orthopedic Chiropractor in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Orthopedic Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.