Organization Active NPI

Lee Chiropractic & Rehab Wellness Center

Doing business as Pacific Chiropractic

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1740381482
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-26294 Issued in CA
Legal business name
LEE CHIROPRACTIC & REHAB WELLNESS CENTER
Doing business as
Pacific Chiropractic
Practice address
1247 7TH St.
#300
Santa Monica, CA 90401
Phone
(310) 452-9146
Fax
(310) 452-2566
NPI assigned
Sep 26, 2006
Last updated
Dec 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Dr. Marvin C. Lee, D.C.NPI 1477566438
Title
Owner
Phone
(310) 502-8999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-26294 CA Primary

Addresses

Primary practice location

1247 7TH St.
#300
Santa Monica, CA 90401

Mailing address

PO Box 661455
L.a., CA 90066
Phone (310) 502-8999

Other names 1

  • Pacific Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lee Chiropractic Rehab Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1740381482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661455",
            "city": "L.A.",
            "state": "CA",
            "postal_code": "90066",
            "telephone_number": "310-502-8999",
            "fax_number": "310-458-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 7TH ST.",
            "address_2": "#300",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90401",
            "telephone_number": "310-452-9146",
            "fax_number": "310-452-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE CHIROPRACTIC & REHAB WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-502-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-26294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.