NPIMap

Organization Active NPI

Chiropractic Care Center Inc.

  • Preferred Provider Organization
  • Los Angeles, CA
National Provider Identifier
1679713911
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DC-30410 Issued in CA
Legal business name
CHIROPRACTIC CARE CENTER INC.
Practice address
112 W 9TH St
Suite 1126
Los Angeles, CA 90015-1510
Phone
(213) 627-0287
Fax
(213) 627-8428
NPI assigned
Feb 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Dr. Edward C Pan, D.C.
Title
President
Phone
(213) 627-0287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DC-30410 CA Primary

Addresses

Primary practice location

112 W 9TH St
Suite 1126
Los Angeles, CA 90015-1510

Mailing address

112 W 9TH St
Suite 1126
Los Angeles, CA 90015-1510
Phone (213) 627-0287

National Provider Directory

National Provider Directory

Locations

112 W 9th St
Ste 1126
Los Angeles, CA 90015
Phone (213) 627-0287

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1679713911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W 9TH ST",
            "address_2": "SUITE 1126",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151510",
            "telephone_number": "213-627-0287",
            "fax_number": "213-627-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 9TH ST",
            "address_2": "SUITE 1126",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151510",
            "telephone_number": "213-627-0287",
            "fax_number": "213-627-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-627-0287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "DC-30410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 26, 2009; 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.