Organization Active NPI

Lifetime Wellness Chiropractic

  • Chiropractor
  • Beverly Hills, CA
National Provider Identifier
1760883052
Registry record updated Sep 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC698547 Issued in CA
Legal business name
LIFETIME WELLNESS CHIROPRACTIC
Practice address
333 S Beverly Dr
Beverly Hills, CA 90212-4314
Phone
(714) 594-3318
Fax
(888) 899-5949
NPI assigned
Sep 6, 2014
Last updated
Sep 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2014

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

Authorized official

Name
Louis V Fabale, DCNPI 1205164845
Title
Chiropractor
Phone
(925) 321-6697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC698547 CA Primary

Addresses

Primary practice location

333 S Beverly Dr
Beverly Hills, CA 90212-4314

Mailing address

333 S Beverly Dr
Beverly Hills, CA 90212-4314
Phone (714) 594-3318

National Provider Directory

National Provider Directory

Locations

333 S Beverly Dr
Beverly Hills, CA 90212
Phone (310) 882-0981

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": "1409961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409961600000",
    "number": "1760883052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S BEVERLY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124314",
            "telephone_number": "714-594-3318",
            "fax_number": "888-899-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S BEVERLY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124314",
            "telephone_number": "714-594-3318",
            "fax_number": "888-899-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME WELLNESS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-06",
        "last_updated": "2014-09-06",
        "status": "A",
        "authorized_official_last_name": "FABALE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "925-321-6697",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC698547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

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