Beach Chiropractic Sports Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC18677 Issued in CA

Legal business name

BEACH CHIROPRACTIC SPORTS CENTER INC

Practice address

19900 Beach Blvd Ste a
Huntington Beach, CA 92648-3762

Phone

(714) 965-9577

Fax

(714) 965-9580

NPI assigned

Apr 25, 2007

Last updated

Jan 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cindy Valek Olson, DC

Title

Owner

Phone

(714) 965-9577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1225257306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19900 BEACH BLVD STE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483762",
            "telephone_number": "714-965-9577",
            "fax_number": "714-965-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 BEACH BLVD STE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483762",
            "telephone_number": "714-965-9577",
            "fax_number": "714-965-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CHIROPRACTIC SPORTS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "VALEK OLSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-965-9577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mumtaz Khan Bayles, P.T.
• Bazil Chiropractic Health Center
• Roderick J. Bazil, D.C.
• Be Well Centers of Southern California, Inc.
• Beach Baby Prenatal Massage & Skin
• Beach Cities Podiatry Group, Inc.
• Beach City Treatment, LLC
• Beach Emergency Medical Associates
• Beach Emergency Medical Associates, Inc.
• Beach Family Doctors Medical Group

• Chiropractor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.