Organization Active NPI

Back in Action Chiropractic-Jlee, Inc

  • Rehabilitation Chiropractor
  • Valley Village, CA
National Provider Identifier
1225574718
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC 26567 Issued in CA
Legal business name
BACK IN ACTION CHIROPRACTIC-JLEE, INC
Practice address
12626 Riverside Dr
Suite # 512
Valley Village, CA 91607-3420
Phone
(818) 506-6226
Fax
(818) 506-6336
NPI assigned
Jan 9, 2017
Last updated
Jan 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Dr. Ji Lee, D.C.
Title
President
Phone
(818) 506-6226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X DC 26567 CA Primary

Addresses

Primary practice location

12626 Riverside Dr
Suite # 512
Valley Village, CA 91607-3420

Mailing address

12626 Riverside Dr
Suite # 512
Valley Village, CA 91607-3420
Phone (818) 506-6226

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1225574718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR",
            "address_2": "SUITE # 512",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073420",
            "telephone_number": "818-506-6226",
            "fax_number": "818-506-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR",
            "address_2": "SUITE # 512",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073420",
            "telephone_number": "818-506-6226",
            "fax_number": "818-506-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION CHIROPRACTIC-JLEE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-506-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC 26567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.