Active NPI
McClain Sports & Wellness Inc a Professional Chiropractic Corporation
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1447416631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24745
- Legal business name
- MCCLAIN SPORTS & WELLNESS INC A PROFESSIONAL CHIROPRACTIC CORPORATION
- Practice address
- 6360 Wilshire Blvd Ste 410
Los Angeles, CA 90048-5606 - Phone
- (323) 653-1014
- NPI assigned
- Aug 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dionne K McClain, DC
- Title
- Ceo/Presitdent
- Phone
- (323) 653-1014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC24745 | CA | Primary |
Addresses
Primary practice location
6360 Wilshire Blvd Ste 410
Los Angeles, CA 90048-5606
Mailing address
6360 Wilshire Blvd Ste 410
Los Angeles, CA 90048-5606
Phone (323) 653-1014
National Provider Directory
National Provider DirectoryLocations
6360 Wilshire Blvd
Ste 410
Los Angeles, CA 90048
Phone (323) 653-1014
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1437266145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229472000000",
"number": "1447416631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 WILSHIRE BLVD STE 410",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485606",
"telephone_number": "323-653-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 WILSHIRE BLVD STE 410",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485606",
"telephone_number": "323-653-1014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCLAIN SPORTS & WELLNESS INC A PROFESSIONAL CHIROPRACTIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-06",
"last_updated": "2008-12-17",
"status": "A",
"authorized_official_last_name": "MCCLAIN",
"authorized_official_first_name": "DIONNE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO/PRESITDENT",
"authorized_official_telephone_number": "323-653-1014",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.