Organization Active NPI

Wil Untalan Jr. Chiropractic Inc.

  • Rehabilitation Chiropractor
  • Los Alamitos, CA
National Provider Identifier
1750570263
Registry record updated Oct 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC28547 Issued in CA
Legal business name
WIL UNTALAN JR. CHIROPRACTIC INC.
Practice address
5182 Katella Ave Ste 102
Los Alamitos, CA 90720-2849
Phone
(562) 799-7900
NPI assigned
Oct 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2007

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

Authorized official

Name
Dr. Wilfredo Untalan Jr., DC
Title
Doctor of Chiropractic
Phone
(562) 799-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X DC28547 CA Primary

Addresses

Primary practice location

5182 Katella Ave Ste 102
Los Alamitos, CA 90720-2849

Mailing address

5182 Katella Ave Ste 102
Los Alamitos, CA 90720-2849
Phone (562) 799-7900

Other names 1

  • Quest to Health Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

5182 Katella Ave
Ste 102
Los Alamitos, CA 90720
Phone (562) 596-4800

NPI Registry JSON

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

{
    "created_epoch": "1192838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192838400000",
    "number": "1750570263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5182 KATELLA AVE STE 102",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202849",
            "telephone_number": "562-799-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5182 KATELLA AVE STE 102",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202849",
            "telephone_number": "562-799-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIL UNTALAN JR. CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-20",
        "last_updated": "2007-10-20",
        "status": "A",
        "authorized_official_last_name": "UNTALAN",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "562-799-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC28547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quest to Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2007; 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.