Organization Active NPI

Corona Health Clinic, LLC

  • Chiropractor
  • Corona, CA
National Provider Identifier
1477899763
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORONA HEALTH CLINIC, LLC
Practice address
1450 W 6TH St Ste 201
Corona, CA 92882-6516
Phone
(951) 372-0556
NPI assigned
Dec 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
George Youssef, M.D.
Title
Director
Phone
(951) 372-0556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1450 W 6TH St Ste 201
Corona, CA 92882-6516

Mailing address

PO Box 76002
Anaheim, CA 92809-7602
Phone (951) 372-0556

National Provider Directory

National Provider Directory

Locations

1450 W 6th St
Ste 201
Corona, CA 92882
Phone (951) 372-0556

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1477899763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76002",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928097602",
            "telephone_number": "951-372-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W 6TH ST STE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928826516",
            "telephone_number": "951-372-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-372-0556",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.