Socal Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOCAL CHIROPRACTIC CENTER PC

Doing business as

Beach Chiropractic Sports Center

Practice address

19900 Beach Blvd Ste a
Huntington Beach, CA 92648-3762

Phone

(714) 965-9577

Fax

(714) 965-9580

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. George J Attiyah, D.C.NPI 1487415600

Title

Doctor of Chiropractic

Phone

(714) 965-9577

Specialties & licenses 1

Addresses

Other names 1

• Beach Chiropractic Sports Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• George J Attiyah, DC

  • Chiropractor
  • Huntington Beach, CA
  • NPI 1487415600
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1770312985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19900 BEACH BLVD STE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483762",
            "telephone_number": "714-965-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 BEACH BLVD STE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483762",
            "telephone_number": "714-965-9577",
            "fax_number": "714-965-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "ATTIYAH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "714-965-9577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Chiropractic Sports Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beach Chiropractic Sports Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Socal Adolescent Wellness, Inc.
• Socal Adolescent Wellness, Inc.
• Socal Beach Rehab LLC
• Socal Beach Rehab LLC
• Socal Beach Rehab LLC
• Lawrence W Sogolow, P.T.
• Kenneth Sokolski, M.D.
• Cecilia Solis
• Erica Solis, PPS
• James Kent Solis, DC

• Chiropractor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.