Laura E. Henson, D.C.
Individual provider Active NPI Chiropractor · Rolling Hills Estates, CA
NPI 1679679377 · NPPES record last updated Dec 17, 2018
Key facts
- NPI
- 1679679377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 21602 (CA)
- Practice address
- 777 Silver Spur Rd
Ste 232
Rolling Hills Estates, CA 90274-3644 - Phone
- (310) 373-4747
- Fax
- (310) 373-9225
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21602 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Health Concepts | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 21602 | CA | Yes |
Addresses
Primary practice location
777 Silver Spur Rd
Ste 232
Rolling Hills Estates, CA 90274-3644
Mailing address
777 Silver Spur Rd
Ste 232
Rolling Hills Estates, CA 90274-3644
Phone (310) 373-4747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0216020 | Other | CA | BLUE SHIELD |
Other providers in Rolling Hills Estates, CA
- James Henry Hawley
- Terry Whitesides Hawley
- Kirstin Marie Hellmeyer
- Hemmat Health, PC
- Matin R Hemmat
- Erik Hernandez
- Miwako Hisagi
- Madison Ho
- Michelle Kay Ho
- Ashley Holmes
All providers in Rolling Hills Estates, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.