Mabel M P Chau DC a Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC12630 Issued in CA

Legal business name

MABEL M P CHAU DC A CHIROPRACTIC CORPORATION

Practice address

1415 E Colorado St Ste 209
Glendale, CA 91205-1541

Phone

(818) 956-5165

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mabel M P Chau, D.C.

Title

President

Phone

(818) 956-5165

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1245240621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E COLORADO ST STE 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051541",
            "telephone_number": "818-956-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E COLORADO ST STE 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051541",
            "telephone_number": "818-956-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABEL M P CHAU DC A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "CHAU",
        "authorized_official_first_name": "MABEL",
        "authorized_official_middle_name": "M P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-956-5165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12630",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "DC12630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Glendale, CA
• Providers in Glendale, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.