Cantong Active Life Chiropractic Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

DC21916 Issued in CA

Legal business name

CANTONG ACTIVE LIFE CHIROPRACTIC INC

Practice address

3540 Wilshire Blvd
Suite 620
Los Angeles, CA 90010-2350

Phone

(213) 487-4621

Fax

(213) 487-7621

NPI assigned

Jan 30, 2009

Last updated

Jan 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Enrique Cantong, D.C.

Title

Ceo

Phone

(213) 700-4819

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nadia Emen, D.C.

  • Chiropractor
  • Ventura, CA
  • NPI 1841352507
  NPD (past)

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1396983292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WILSHIRE BLVD",
            "address_2": "SUITE 620",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102307",
            "telephone_number": "213-487-4621",
            "fax_number": "213-487-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WILSHIRE BLVD",
            "address_2": "SUITE 620",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102350",
            "telephone_number": "213-487-4621",
            "fax_number": "213-487-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTONG ACTIVE LIFE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "CANTONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-700-4819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "DC21916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piedad Virginia Cantero, RD
• Catalina Diana Canto
• Jeshenia Prisila Canton
• Pauline Canton
• Roquel Canton
• David Enrique Cantong, DC
• Alicia Cantor II
• Jenny Cantoran, LCSW
• Rachel A Cantos, D.M.D.
• Jeffrey Isaac Cantrell, MSN, PMHNP-BC

• Health Service Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Service Clinic/Center in California

• 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.