John a. Liddy, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC31233 Issued in CA

Legal business name

JOHN A. LIDDY, D.C.

Practice address

8920 W Sunset Blvd Ste 200
West Hollywood, CA 90069-1812

Phone

(310) 659-1959

Fax

(310) 659-4769

NPI assigned

May 13, 2012

Organization subpart

No

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

Authorized official

Name

Deborra A Liddy

Title

Office Manager

Phone

(310) 659-1959

Specialties & licenses 4

Addresses

Other names 1

• Liddy Health and Fitness Doing business as

Tax ID family

Dr John Liddy DC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. John Liddy, DC

  • Chiropractor
  • West Hollywood, CA
  • NPI 1043492549
  NPD tax ID

Locations

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

{
    "created_epoch": "1336867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1366701203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 W SUNSET BLVD STE 200",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900691812",
            "telephone_number": "310-659-1959",
            "fax_number": "310-659-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 W SUNSET BLVD STE 200",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900691812",
            "telephone_number": "310-659-1959",
            "fax_number": "310-659-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. LIDDY, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-13",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "LIDDY",
        "authorized_official_first_name": "DEBORRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-659-1959"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16468",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC31888",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC31233",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC16468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liddy Health and Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Chiropractor in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.