NPIMap

Organization Active NPI

Rosemead Injury Center

  • Chiropractor
  • Rosemead, CA
National Provider Identifier
1083634505
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
26427 Issued in CA
Legal business name
ROSEMEAD INJURY CENTER
Practice address
9241 Valley Blvd
Suite 105
Rosemead, CA 91770-1978
Phone
(626) 614-0055
Fax
(626) 614-0050
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jake Chan Lee, D.C.NPI 1689890600
Title
Clinic Director
Phone
(626) 614-0055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 26427 CA Primary

Addresses

Primary practice location

9241 Valley Blvd
Suite 105
Rosemead, CA 91770-1978

Mailing address

9241 Valley Blvd
Suite 105
Rosemead, CA 91770-1978
Phone (626) 614-0055

National Provider Directory

National Provider Directory

Locations

9241 Valley Blvd
Ste 105
Rosemead, CA 91770
Phone (626) 614-0055

Practitioners & affiliated clinicians

Practitioners 3

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083634505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 VALLEY BLVD",
            "address_2": "SUITE 105",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701978",
            "telephone_number": "626-614-0055",
            "fax_number": "626-614-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 VALLEY BLVD",
            "address_2": "SUITE 105",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701978",
            "telephone_number": "626-614-0055",
            "fax_number": "626-614-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMEAD INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "626-614-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "26427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.