Active NPI
Desiree Jean Dilorenzo, DC
- Rehabilitation Chiropractor
- Los Angeles, CA
National Provider Identifier
1730944133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC36891
- Practice address
- 10474 Santa Monica Blvd Ste 304
Los Angeles, CA 90025-6931 - Phone
- (310) 470-2909
- NPI assigned
- Feb 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC36891 | CA | Primary |
Addresses
Primary practice location
10474 Santa Monica Blvd Ste 304
Los Angeles, CA 90025-6931
Mailing address
1821 Pacific Coast Hwy Apt 24
Hermosa Beach, CA 90254-3132
Phone (818) 744-6449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36891 | CA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Sports & Spine, Inc. | Rehabilitation | Current | Accepting new patients |
Locations
10474 Santa Monica Blvd
Ste 304
Los Angeles, CA 90025
Phone (310) 470-2909
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1730944133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 PACIFIC COAST HWY APT 24",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902543132",
"telephone_number": "818-744-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10474 SANTA MONICA BLVD STE 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256931",
"telephone_number": "310-470-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILORENZO",
"first_name": "DESIREE",
"middle_name": "JEAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-15",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC36891",
"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 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.