Active NPI
Comprehensive Chiropractic Center
- Chiropractor
- Montebello, CA
National Provider Identifier
1285842583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- COMPREHENSIVE CHIROPRACTIC CENTER
- Practice address
- 1817 W Beverly Blvd
Suite B
Montebello, CA 90640-3935 - Phone
- (323) 721-7390
- Fax
- (323) 721-8513
- NPI assigned
- May 18, 2007
- 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
- Mr. Wayne Ira Walburn, D.C.
- Title
- Owner
- Phone
- (323) 721-7390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1817 W Beverly Blvd
Suite B
Montebello, CA 90640-3935
Mailing address
1817 W Beverly Blvd
Suite B
Montebello, CA 90640-3935
Phone (323) 721-7390
National Provider Directory
National Provider DirectoryLocations
1817 W Beverly Blvd
Ste B
Montebello, CA 90640
Phone (323) 721-7390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233273600000",
"number": "1285842583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 W BEVERLY BLVD",
"address_2": "SUITE B",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403935",
"telephone_number": "323-721-7390",
"fax_number": "323-721-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 W BEVERLY BLVD",
"address_2": "SUITE B",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403935",
"telephone_number": "323-721-7390",
"fax_number": "323-721-8513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2009-01-30",
"status": "A",
"authorized_official_last_name": "WALBURN",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "IRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-721-7390",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.