NPIMap

Organization Active NPI

Marvin C Lee Chiropractic PC

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1073922936
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARVIN C LEE CHIROPRACTIC PC
Practice address
1625 W Olympic Blvd Ste M103
Los Angeles, CA 90015-3824
Phone
(323) 375-5147
Fax
(323) 375-5155
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Dr. Marvin C Lee, D.C.
Title
President
Phone
(323) 375-5147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1625 W Olympic Blvd Ste M103
Los Angeles, CA 90015-3824

Mailing address

1625 W Olympic Blvd Ste M103
Los Angeles, CA 90015-3824
Phone (323) 375-5147

National Provider Directory

National Provider Directory

Locations

1625 W Olympic Blvd
Ste M103
Los Angeles, CA 90015
Phone (323) 375-5147

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1073922936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W OLYMPIC BLVD STE M103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153824",
            "telephone_number": "323-375-5147",
            "fax_number": "323-375-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W OLYMPIC BLVD STE M103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153824",
            "telephone_number": "323-375-5147",
            "fax_number": "323-375-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN C LEE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-375-5147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 10, 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.