Livefree Chiropractic Haven Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIVEFREE CHIROPRACTIC HAVEN INC

Practice address

7687 Westminster Blvd
Westminster, CA 92683-3921

Phone

(626) 241-3689

Fax

(866) 660-6654

NPI assigned

Jan 24, 2019

Organization subpart

No

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

Authorized official

Name

Khoa Dang Le, DCNPI 1184933012

Title

President

Phone

(626) 241-3689

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Khoa Dang Le, D.C.

  • Chiropractor
  • Westminster, CA
  • NPI 1184933012
  Medicare reassignment NPD Authorized official
• Richard Lance Wilson, DC

  • Chiropractor
  • Westminster, CA
  • NPI 1841267408
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1700340619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7687 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833921",
            "telephone_number": "626-241-3689",
            "fax_number": "866-660-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7687 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833921",
            "telephone_number": "626-241-3689",
            "fax_number": "866-660-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEFREE CHIROPRACTIC HAVEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KHOA",
        "authorized_official_middle_name": "DANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-241-3689",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Loi Luu, MD

• Primary Care Clinic/Center in Westminster, CA
• Providers in Westminster, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.