Phu Q La, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-29308 Issued in CA

Practice address

12234 Haven Cir
Riverside, CA 92503-5982

Phone

(951) 227-9780

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Chiropractic Group

  • Chiropractor
  • Fontana, CA
  • NPI 1104151596
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1508963943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 ERICKSON AVE",
            "address_2": "STE. B",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902424013",
            "telephone_number": "951-227-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 HAVEN CIR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035982",
            "telephone_number": "951-227-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA",
        "first_name": "PHU",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-29308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Sierra University Health Clinic
• La Sierra University Student Health Services
• La Vida Clinic Inc
• Shelah La Voyn-Sallis
• Casey Ching La, DMD
• Phuong Anh Thi La, P.A.-C
• Hisham Ahmad Labanieh, M.D.
• Gerardo Ponce Labasan, MD
• Savannah Labeau, NONE
• Madison Labella, AMFT

• Chiropractor in Riverside, CA
• Providers in Riverside, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.