Organization Active NPI

Maxrelax Zen Inc.

  • Chiropractor
  • Lake Forest, CA
National Provider Identifier
1497594816
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAXRELAX ZEN INC.
Practice address
23646 Rockfield Blvd Ste 601
Lake Forest, CA 92630-1688
Phone
(307) 228-1551
NPI assigned
May 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Guiqin Ann
Title
Manager
Phone
(307) 228-1551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X

Addresses

Primary practice location

23646 Rockfield Blvd Ste 601
Lake Forest, CA 92630-1688

Mailing address

1309 Coffeen Ave Ste 14130, C/O Rajeunvie
Sheridan, WY 82801-5777
Phone (307) 228-1551

National Provider Directory

National Provider Directory

Locations

23646 Rockfield Blvd
Ste 601
Lake Forest, CA 92630
Phone (307) 228-1551

1309 Coffeen Ave
Ste 14130
Sheridan, WY 82801

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1497594816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 COFFEEN AVE STE 14130, C/O RAJEUNVIE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015777",
            "telephone_number": "307-228-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23646 ROCKFIELD BLVD STE 601",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301688",
            "telephone_number": "307-228-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXRELAX ZEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "ANN",
        "authorized_official_first_name": "GUIQIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "307-228-1551"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.