Philips San Pedro Chiropractic

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

268581 Issued in CA

Legal business name

PHILIPS SAN PEDRO CHIROPRACTIC

Practice address

505 South Pacific Avenue
Suite 104
San Pedro, CA 90731-2682

Phone

(310) 935-2935

Fax

(310) 751-7002

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Joe Philis, D.C.

Title

Ceo

Phone

(310) 935-2935

Specialties & licenses 1

Addresses

Practitioners 1

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

• Raymond Joe Philips, DC

  • Sports Physician Chiropractor
  • San Pedro, CA
  • NPI 1891234829
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1093249914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SOUTH PACIFIC AVENUE",
            "address_2": "SUITE 104",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312682",
            "telephone_number": "310-935-2935",
            "fax_number": "310-751-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SOUTH PACIFIC AVENUE",
            "address_2": "SUITE 104",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312682",
            "telephone_number": "310-935-2935",
            "fax_number": "310-751-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIPS SAN PEDRO CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "PHILIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-935-2935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "268581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Dennis Peterson, L.AC.
• Marina Nicolette Petrich, OTR/L, COEE
• Grace C. Petterson, MD
• Chuong Pham
• Emily Phuong Linh Pham
• Raymond Joe Philips, DC
• Phillip E Schoenwetter MD , Inc
• Laron E. Phillips, M.D.
• Physical Therapy San Pedro Corp. (Dr. Janae Brown)
• Angel Piper

• Sports Physician Chiropractor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.