NPIMap

Organization Active NPI

Nazareth Clinic Corp

  • Sports Physician Chiropractor
  • Los Angeles, CA
National Provider Identifier
1598923716
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC 25845 Issued in CA
Legal business name
NAZARETH CLINIC CORP
Practice address
2140 W Olympic Blvd Ste 321
Los Angeles, CA 90006-2279
Phone
(213) 389-5865
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Dr. Lee Chou, DCNPI 1962660126
Title
Ceo
Phone
(213) 389-5865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC25845 CA
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X DC 25845 CA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC 6463 CA

Addresses

Primary practice location

2140 W Olympic Blvd Ste 321
Los Angeles, CA 90006-2279

Mailing address

2140 W Olympic Blvd Ste 321
Los Angeles, CA 90006-2279
Phone (213) 389-5865

Other identifiers 2

IdentifierTypeStateIssuer
DC 25845OtherCACALIFORNIA BOARD OF CHIROPRACTIC EXAMINERS
AC 6463OtherCACALIFORNIA ACUPUNCTURE BOARD

Other names 1

  • Nazareth Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2140 W Olympic Blvd
Ste 321
Los Angeles, CA 90006
Phone (213) 389-5865

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": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1598923716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W OLYMPIC BLVD STE 321",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062279",
            "telephone_number": "213-389-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W OLYMPIC BLVD STE 321",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062279",
            "telephone_number": "213-389-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-389-5865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25845",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC 25845",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 6463",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "DC 25845",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ACUPUNCTURE BOARD",
            "identifier": "AC 6463",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nazareth Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

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