Van Lue Chiropractic, Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC32385 Issued in CA

Legal business name

VAN LUE CHIROPRACTIC, INC

Practice address

8363 Reseda Blvd Ste 204
Northridge, CA 91324-5907

Phone

(818) 357-2095

Fax

(818) 357-2501

NPI assigned

Jun 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gary Peter James Van Lue, D.C.

Title

Ceo

Phone

(818) 357-2095

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Funxional Chiropractic Other name

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1285073130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8363 RESEDA BLVD STE 204",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245907",
            "telephone_number": "818-357-2095",
            "fax_number": "818-357-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8363 RESEDA BLVD STE 204",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245907",
            "telephone_number": "818-357-2095",
            "fax_number": "818-357-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN LUE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "VAN LUE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "PETER JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-357-2095",
        "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": "DC32385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "DC0323850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Funxional Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Evelyn Vallin
• Vama Diagnostics
• Kathleen Van Dam
• Valerie Ann Van Dellen, PA-C
• Eric Glover Van Duser, DDS
• Shaina Lee Van Stryk, DDS
• Evan George Vargas
• Karina Vargas
• Maira Vargas
• Matthew Vargas

• Rehabilitation Chiropractor in Northridge, CA
• Providers in Northridge, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.