Organization Active NPI

Soraya Chiropractic Care Inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1164825659
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30645 Issued in CA
Legal business name
SORAYA CHIROPRACTIC CARE INC
Practice address
2121 Avenue of the Stars
Los Angeles, CA 90067-5010
Phone
(310) 467-5218
Fax
(310) 933-0559
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Damon Soraya, D C
Title
Owner
Phone
(310) 467-5218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC30645 CA Primary

Addresses

Primary practice location

2121 Avenue of the Stars
Los Angeles, CA 90067-5010

Mailing address

959 S Mullen Ave
Los Angeles, CA 90019-1829
Phone (310) 467-5218

National Provider Directory

National Provider Directory

Locations

2121 Avenue of the Stars
Los Angeles, CA 90067
Phone (310) 467-5218

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1164825659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 S MULLEN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191829",
            "telephone_number": "310-467-5218",
            "fax_number": "310-933-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 AVENUE OF THE STARS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900675010",
            "telephone_number": "310-467-5218",
            "fax_number": "310-933-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORAYA CHIROPRACTIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "SORAYA",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-467-5218",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30645",
            "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 Sep 29, 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.