Active NPI
Lee T Nguyen, DC
- Occupational Health Chiropractor
- Corona, CA
National Provider Identifier
1275724445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Chiropractor
- License
- DC30622
- Practice address
- 1450 W 6TH St
102
Corona, CA 92882-3060 - Phone
- (951) 372-9114
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Chiropractor | 111NX0100X | DC30622 | CA | Primary |
Addresses
Primary practice location
1450 W 6TH St
102
Corona, CA 92882-3060
Mailing address
12761 Frederick St
#307
Moreno Valley, CA 92553-4524
Phone (626) 429-9669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC30622 | CA | MD | Occupational Health Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186272000000",
"number": "1275724445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12761 FREDERICK ST",
"address_2": "#307",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925534524",
"telephone_number": "626-429-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 W 6TH ST",
"address_2": "102",
"city": "CORONA",
"state": "CA",
"postal_code": "928823060",
"telephone_number": "951-372-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LEE",
"middle_name": "T",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "CA",
"license": "DC30622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.