Dr. Paul Tripp D.C. LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. PAUL TRIPP D.C. LLC

Doing business as

Dr Paul Tripp D.C. LLC

Practice address

901 E Valley Blvd
San Gabriel, CA 91776-3608

Phone

(770) 843-1762

Fax

(678) 840-3946

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Paul Tripp, DC

Title

Owner /Ceo

Phone

(770) 843-1762

Specialties & licenses 1

Addresses

Other names 1

• Dr Paul Tripp D.C. LLC Doing business as

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1073131389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E VALLEY BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763608",
            "telephone_number": "770-843-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E VALLEY BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763608",
            "telephone_number": "770-843-1762",
            "fax_number": "678-840-3946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 E Valley Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917766501",
            "country_code": "US",
            "telephone_number": "770-843-1762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. PAUL TRIPP D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER /CEO",
        "authorized_official_telephone_number": "770-843-1762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Paul Tripp D.C. LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.