Organization Active NPI

Grace Syn Chiropractic, Inc

  • Chiropractor
  • Redondo Beach, CA
National Provider Identifier
1598891350
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22869 Issued in CA
Legal business name
GRACE SYN CHIROPRACTIC, INC
Practice address
1611 S Catalina Ave
Suite 100
Redondo Beach, CA 90277-5255
Phone
(310) 540-5529
Fax
(310) 540-3866
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Grace J Syn, DC
Title
Executive Director
Phone
(310) 540-5529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC22869 CA Primary

Addresses

Primary practice location

1611 S Catalina Ave
Suite 100
Redondo Beach, CA 90277-5255

Mailing address

1611 S Catalina Ave
Suite 100
Redondo Beach, CA 90277-5255
Phone (310) 540-5529

National Provider Directory

National Provider Directory

Locations

1611 S Catalina Ave
Ste 100
Redondo Beach, CA 90277
Phone (310) 357-4414

Practitioners & affiliated clinicians

Practitioners 1

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1598891350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S CATALINA AVE",
            "address_2": "SUITE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775255",
            "telephone_number": "310-540-5529",
            "fax_number": "310-540-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S CATALINA AVE",
            "address_2": "SUITE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775255",
            "telephone_number": "310-540-5529",
            "fax_number": "310-540-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE SYN CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "SYN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-540-5529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.