Keola Lorenzo

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

34469 Issued in CA

Practice address

2221 Palo Verde Ave Ste 1J
Long Beach, CA 90815-2360

Phone

(562) 795-7007

NPI assigned

Mar 4, 2019

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1154889772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13507 MAR VISTA ST APT 114",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PALO VERDE AVE STE 1J",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152360",
            "telephone_number": "562-795-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13507 Mar Vista St Apt 114",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906022341",
            "country_code": "US",
            "telephone_number": "562-355-6761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12466 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906021005",
            "country_code": "US",
            "telephone_number": "562-274-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "KEOLA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "34469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravinn S Lore, PHD
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• Loren Rude, O.D., Prof. Corp.
• Janine G. Lorenzo
• Maltish Lorenzo
• Genesis Mallari Lorica
• Kim-Han Lorine, PHD
• Lorna Abdon D.M.D. Inc.
• Los Alamitos Radiology Group Inc

• Sports Physician Chiropractor in Long Beach, CA
• Providers in Long Beach, 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 Jun 14, 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.