Active NPI
Lynwood Family Chiropractic and Sports Medicine
- Chiropractor
- Lynwood, CA
National Provider Identifier
1265202261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- LYNWOOD FAMILY CHIROPRACTIC AND SPORTS MEDICINE
- Practice address
- 3150 E Imperial Hwy Ste 200
Lynwood, CA 90262-3226 - Phone
- (310) 609-2827
- NPI assigned
- Jan 2, 2024
- Last updated
- Jan 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dong Hyun Gwag, DC
- Title
- President
- Phone
- (714) 334-6211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Acupuncturist | 171100000X | |||
| Physical Therapist | 225100000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
3150 E Imperial Hwy Ste 200
Lynwood, CA 90262-3226
Mailing address
3140 San Marino St Unit 403
Los Angeles, CA 90006-1475
Phone (714) 334-6211
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Los Angeles, CA
- NPI 1396485413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704153600000",
"number": "1265202261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 SAN MARINO ST UNIT 403",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900061475",
"telephone_number": "714-334-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 E IMPERIAL HWY STE 200",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623226",
"telephone_number": "310-609-2827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNWOOD FAMILY CHIROPRACTIC AND SPORTS MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-02",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A",
"authorized_official_last_name": "GWAG",
"authorized_official_first_name": "DONG HYUN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-334-6211",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
- Lunavita Sleep Clinic, LLC
- Josephine M Lynch, LCSW
- Kristina Pierce Lynch, PA-C
- Jaelyn Lynton
- Lynwood Developmental Care, Inc
- Lynwood Med Supply, Inc.
- Lynwood Med Supply. Inc
- Lynwood Safai DDS, Inc. (SmileKlub Dental and Braces Dental Office of Dr. Safai)
- Lynwood Skilled Nursing Center LLC
- Lynwood Unified School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.