Active NPI
Liddy Health & Fitness Chiropractic Inc
- Rehabilitation Chiropractor
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC 31233
- Legal business name
- LIDDY HEALTH & FITNESS CHIROPRACTIC INC
- Practice address
- 6310 San Vicente Blvd Ste 240
Los Angeles, CA 90048-5461 - Phone
- (310) 659-1959
- NPI assigned
- Apr 11, 2015
- 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
- Mr. Kenneth Jeremy Ycmat, D.C.
- Title
- President
- Phone
- (310) 659-1959
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC 31233 | CA | Primary |
Addresses
Primary practice location
6310 San Vicente Blvd Ste 240
Los Angeles, CA 90048-5461
Mailing address
230 S Jackson St. #104
Glendale, CA 91205
Phone (310) 659-1959
National Provider Directory
National Provider Directory- Tax ID family
- Liddy Health Fitness Chiropractic Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- West Hollywood, CA
- NPI 1780837005
-
- Physical Therapy Clinic/Center
- West Hollywood, CA
- NPI 1558551606
Locations
6310 San Vicente Blvd
Ste 240
Los Angeles, CA 90048
Phone (310) 659-1959
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- West Hollywood, CA
- NPI 1669607883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459900800000",
"number": "1457747990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 S JACKSON ST. #104",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91205",
"telephone_number": "310-659-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 SAN VICENTE BLVD STE 240",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485461",
"telephone_number": "310-659-1959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIDDY HEALTH & FITNESS CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-11",
"last_updated": "2016-04-06",
"status": "A",
"authorized_official_last_name": "YCMAT",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "JEREMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-659-1959",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC 31233",
"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 Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.