NPIMap

Organization Active NPI

Idealw84U, LLC

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1396187050
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC15402 Issued in CA
Legal business name
IDEALW84U, LLC
Practice address
8632 S Sepulveda Blvd
Ste 101
Los Angeles, CA 90045-4015
Phone
(310) 910-0238
Fax
(714) 685-0337
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Donald Lee Stokes, D.O.
Title
Owner
Phone
(310) 910-0238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC15402 CA Primary

Addresses

Primary practice location

8632 S Sepulveda Blvd
Ste 101
Los Angeles, CA 90045-4015

Mailing address

7733 Henefer Ave
Ste a
Los Angeles, CA 90045-1140
Phone (310) 910-0238

Other names 1

  • Business Industrial Chiropractic Services, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1396187050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 HENEFER AVE",
            "address_2": "STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451140",
            "telephone_number": "310-910-0238",
            "fax_number": "714-685-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8632 S SEPULVEDA BLVD",
            "address_2": "STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454015",
            "telephone_number": "310-910-0238",
            "fax_number": "714-685-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEALW84U, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-910-0238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Business Industrial Chiropractic Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.