Life Center for Health

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

15026 Issued in CA

Legal business name

LIFE CENTER FOR HEALTH

Practice address

31882 Del Obispo St
Suite 158
San Juan Capistrano, CA 92675-3225

Phone

(949) 661-9476

Fax

(949) 661-7536

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Calvin Belnap Ross, D.C.

Title

General Manager

Phone

(949) 661-9476

Specialties & licenses 1

Addresses

Other names 1

• Ross Life Center Other name

Locations

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1639349046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31882 DEL OBISPO STREET",
            "address_2": "SUITE 158",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753225",
            "telephone_number": "949-661-9476",
            "fax_number": "949-661-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31882 DEL OBISPO ST",
            "address_2": "SUITE 158",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753225",
            "telephone_number": "949-661-9476",
            "fax_number": "949-661-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CENTER FOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "BELNAP",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "949-661-9476",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "15026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ross Life Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Rehabilitation Chiropractor in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Rehabilitation Chiropractor in California

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