Park Center for Health

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

DC14679 Issued in CA

Legal business name

PARK CENTER FOR HEALTH

Practice address

22471 Sueno Rd
Woodland Hills, CA 91364-2900

Phone

(818) 222-5636

Fax

(818) 222-8853

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Judy F. Lane, D.C.NPI 1225116338

Title

Owner

Phone

(818) 222-5636

Specialties & licenses 6

Addresses

Other names 1

• PARK CENTER - EAST Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Judy F Lane DC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Judy F Lane, D.C.

  • Nutrition Chiropractor
  • Woodland Hills, CA
  • NPI 1295129237
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judy F. Lane, D.C.

  • Nutrition Chiropractor
  • Woodland Hills, CA
  • NPI 1225116338
  Medicare reassignment Authorized official
• Jan Preston Dunn, LAC OMD DIPL AC

  • Acupuncturist
  • Woodland Hills, CA
  • NPI 1508824020
  NPD (past)
• Tobi Redlich, D.C.

  • Nutrition Chiropractor
  • Woodland Hills, CA
  • NPI 1861567463
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1629123559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8188",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913728188",
            "telephone_number": "818-222-5636",
            "fax_number": "818-222-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22471 SUENO RD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642900",
            "telephone_number": "818-222-5636",
            "fax_number": "818-222-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CENTER FOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-222-5636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC14679",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC25493",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC14679",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC25493",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC15677",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK CENTER - EAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenyfer Esmeralda Paredes
• Julissa Marie Paredes V
• Leslie Alexandra Paredes
• Iman Parhami, M.D., MPH
• Parichehr Tabibian, MD, a Professional Corporation
• Alice Sunyoung Park, M.S.P.T
• Caroline Kim Park, M.D.
• Jaeheui Park, RPH
• Maxwell Choong Won Park, MD
• Susie K Park, PHARM.D.

• Nutrition Chiropractor in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Nutrition Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.