Active NPI
Brian Hiroshi Lum, D.C.
- Sports Physician Chiropractor
- Signal Hill, CA
National Provider Identifier
1598802191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC26768
- Practice address
- 2275 Redondo Ave
Signal Hill, CA 90755-4017 - Phone
- (562) 938-7665
- Fax
- (562) 684-4173
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC26768 | CA | Primary |
Addresses
Primary practice location
2275 Redondo Ave
Signal Hill, CA 90755-4017
Mailing address
3351 E Hill St
Signal Hill, CA 90755-1219
Phone (562) 938-7665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3351 E Hill St
Signal Hill, CA 90755-1219
Phone (562) 938-7665
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC26768 | CA | MD | Sports Physician Chiropractor |
| 26768 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nu Image Now Wellness Center Inc | Sports Physician | Current | Accepting new patients |
Locations
1155 E San Antonio Dr
Ste C
Long Beach, CA 90807
Phone (562) 423-8298
2275 Redondo Ave
Signal Hill, CA 90755
Phone (562) 366-3315
3351 E Hill St
Signal Hill, CA 90755
Phone (562) 938-7665
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
- Sports Physician Chiropractor
- Signal Hill, CA
- NPI 1134458151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1598802191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 E HILL ST",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907551219",
"telephone_number": "562-938-7665",
"fax_number": "562-684-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 REDONDO AVE",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907554017",
"telephone_number": "562-938-7665",
"fax_number": "562-684-4173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM",
"first_name": "BRIAN",
"middle_name": "HIROSHI",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC26768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Signal Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.