Organization Active NPI

Comprehensive Chiropractic Center

  • Chiropractor
  • Montebello, CA
National Provider Identifier
1285842583
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Jan 30, 2009

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.