NPIMap

Organization Active NPI

Korus Medical Group of Lee Chiropractic Corporation

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1063810745
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29495 Issued in CA
Legal business name
KORUS MEDICAL GROUP OF LEE CHIROPRACTIC CORPORATION
Practice address
3055 Wilshire Blvd Ste 100
Los Angeles, CA 90010-1119
Phone
(213) 383-0008
NPI assigned
Dec 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Nelson Lee
Title
D.C./Director
Phone
(213) 383-0008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC29495 CA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC7286 CA

Addresses

Primary practice location

3055 Wilshire Blvd Ste 100
Los Angeles, CA 90010-1119

Mailing address

3055 Wilshire Blvd Ste 100
Los Angeles, CA 90010-1119
Phone (213) 383-0008

National Provider Directory

National Provider Directory

Locations

3055 Wilshire Blvd
Ste 100
Los Angeles, CA 90010
Phone (213) 383-0008

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1063810745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 WILSHIRE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101119",
            "telephone_number": "213-383-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 WILSHIRE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101119",
            "telephone_number": "213-383-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORUS MEDICAL GROUP OF LEE CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "D.C./DIRECTOR",
        "authorized_official_telephone_number": "213-383-0008"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29495",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.