Organization Active NPI

Soraya Wellness & Rehab Chiropractic Corporation

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1699018903
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
EU048A Issued in CA
Legal business name
SORAYA WELLNESS & REHAB CHIROPRACTIC CORPORATION
Practice address
5757 Wilshire Blvd Ste 490
Los Angeles, CA 90036-5811
Phone
(818) 625-7770
Fax
(818) 409-0181
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Damon Soraya
Title
D.C.
Phone
(818) 625-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X EU048A CA Primary

Addresses

Primary practice location

5757 Wilshire Blvd Ste 490
Los Angeles, CA 90036-5811

Mailing address

5757 Wilshire Blvd Ste 490
Los Angeles, CA 90036-5811
Phone (818) 625-7770

National Provider Directory

National Provider Directory

Locations

5757 Wilshire Blvd
Ste 490
Los Angeles, CA 90036
Phone (310) 862-0077

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1699018903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 490",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365811",
            "telephone_number": "818-625-7770",
            "fax_number": "818-409-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 490",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365811",
            "telephone_number": "818-625-7770",
            "fax_number": "818-409-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORAYA WELLNESS & REHAB CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "SORAYA",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "D.C.",
        "authorized_official_telephone_number": "818-625-7770"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "EU048A",
            "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 Mar 6, 2014; 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.