Corporate Spinal Wellness Systems

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

29699 Issued in CA

Legal business name

CORPORATE SPINAL WELLNESS SYSTEMS

Doing business as

Beverly Spine and Wellness

Practice address

5042 Wilshire Blvd
No. 222
Los Angeles, CA 90036-4305

Phone

(310) 447-5131

Fax

(323) 932-0886

NPI assigned

Mar 14, 2008

Organization subpart

Yes

Parent organization

CORPORATE SPINAL WELLNESS SYSTEMSAs reported in NPPES

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

Authorized official

Name

Dr. Edward Hayes Cunningham, D.C.

Title

President

Phone

(310) 447-5131

Specialties & licenses 1

Addresses

Other names 1

• Beverly Spine and Wellness Doing business as

Part of

Beverly Spine and Wellness

Locations

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1356512636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5042 WILSHIRE BLVD.",
            "address_2": "NO. 222",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364305",
            "telephone_number": "310-447-5131",
            "fax_number": "323-932-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 WILSHIRE BLVD",
            "address_2": "NO. 222",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364305",
            "telephone_number": "310-447-5131",
            "fax_number": "323-932-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE SPINAL WELLNESS SYSTEMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORPORATE SPINAL WELLNESS SYSTEMS",
        "enumeration_date": "2008-03-14",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "HAYES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-447-5131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Spine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Santiago Dayoan Corpuz, M.D.
• Michael Corradino, PHD

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.