Mike Jack Laubach, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20280 Issued in CA

Practice address

903 Buena Vis Apt E
San Clemente, CA 92672-5068

Phone

(949) 230-7369

NPI assigned

Feb 12, 2019

Last updated

Feb 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1144786385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BUENA VIS APT E",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725068",
            "telephone_number": "949-230-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BUENA VIS APT E",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725068",
            "telephone_number": "949-230-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBACH",
        "first_name": "MIKE",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Paul Lamotte, MD
• Sophia Chaitha Lancaster, OTR/L
• Ariana Lapierre, IBCLC
• Kelsey Lynn Laser
• Teresa Lau
• Kristin Lawrence, AMFT
• Cynthia Lay, PT, DPT
• Anthony T Ledonne, M.D.
• Debra J. Lee-Moreno, PSYD.
• Kimberley Anne Lee-Thorp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.