NPIMap

Organization Active NPI

Tsu Chiropractic Corporation

  • Chiropractor
  • West Covina, CA
National Provider Identifier
1881267664
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TSU CHIROPRACTIC CORPORATION
Doing business as
BODY DETOX
Practice address
811 S Glendora Ave
West Covina, CA 91790-4202
Phone
(626) 960-5096
NPI assigned
Jul 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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

Authorized official

Name
Tsu Lam, DC
Title
President
Phone
(626) 960-5096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

811 S Glendora Ave
West Covina, CA 91790-4202

Mailing address

811 S Glendora Ave
West Covina, CA 91790-4202
Phone (310) 924-9678

Other identifiers 1

IdentifierTypeStateIssuer
CB391448OtherCAMEDICARE

Other names 1

  • BODY DETOX Doing business as

National Provider Directory

National Provider Directory

Locations

425 W Valley Blvd
Ste 105
San Gabriel, CA 91776

811 S Glendora Ave
West Covina, CA 91790
Phone (626) 960-5096

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659139200000",
    "number": "1881267664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904202",
            "telephone_number": "310-924-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904202",
            "telephone_number": "626-960-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSU CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "TSU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-960-5096",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB391448",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BODY DETOX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BODY DETOX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.