Mitzie Lam Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31243 Issued in CA

Legal business name

MITZIE LAM CHIROPRACTIC INC

Practice address

1755 Orange Ave
Suite B
Costa Mesa, CA 92627-3130

Phone

(949) 645-1177

Fax

(949) 548-0076

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ted Nabewari, D.C.

Title

Coo

Phone

(949) 645-1177

Specialties & licenses 1

Addresses

Other names 1

• Wellness Discovery Center Doing business as

Practitioners 1

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

• Michael Steven Lee, D.C.

  • Chiropractor
  • Pasadena, CA
  • NPI 1255639928
  NPD (past)

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1306162607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 884",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926840884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 ORANGE AVE",
            "address_2": "SUITE B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273130",
            "telephone_number": "949-645-1177",
            "fax_number": "949-548-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITZIE LAM CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "NABEWARI",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-645-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Discovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliana Mishreki
• Omari Alizandria Mitchell-Sheard
• Caryn Lynn Mitchell
• Melissa Evangeline Mitchell, D.C.
• Mitra Fatourechi-Alsharif, Professional Corporation
• Emily Jeanmarie Mize
• MK Care Facility LLC
• Mo Taheri, D.M.D., Inc.
• Robert Mo, CADC II
• Tiffany Marie Modica, PSYD

• Chiropractor in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.