Organization Active NPI

Christian Chee Chiropractic Inc

  • Chiropractor
  • Lake Forest, CA
National Provider Identifier
1265739718
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30290 Issued in CA
Legal business name
CHRISTIAN CHEE CHIROPRACTIC INC
Doing business as
Life Balance Chiropractic
Practice address
20671 Lake Forest Dr
Ste B-102
Lake Forest, CA 92630-7746
Phone
(949) 587-9990
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Dr. Christian Chee, DC
Title
President
Phone
(949) 587-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 30290 CA Primary

Addresses

Primary practice location

20671 Lake Forest Dr
Ste B-102
Lake Forest, CA 92630-7746

Mailing address

20671 Lake Forest Dr
Ste B-102
Lake Forest, CA 92630-7746
Phone (949) 587-9990

Other names 1

  • Life Balance Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120620000213 CA Part B Supplier - Clinic/Group Practice 8628232808 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Forest, CA

National Provider Directory

National Provider Directory

Locations

20671 Lake Forest Dr
Ste B102
Lake Forest, CA 92630
Phone (714) 587-9990

25691 Atlantic Ocean Dr
Ste B11
Lake Forest, CA 92630
Phone (949) 299-7027

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1265739718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20671 LAKE FOREST DR",
            "address_2": "STE B-102",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307746",
            "telephone_number": "949-587-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20671 LAKE FOREST DR",
            "address_2": "STE B-102",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307746",
            "telephone_number": "949-587-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CHEE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "CHEE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-587-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Balance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.