Organization Active NPI

Yoo Omni Wellness Chiropractic Clinic, Inc.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1881788487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28555 Issued in CA
Legal business name
YOO OMNI WELLNESS CHIROPRACTIC CLINIC, INC.
Practice address
625 W. College St.
Suite 206
Los Angeles, CA 90012
Phone
(213) 617-8163
Fax
(213) 617-8164
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Byung David Yoo, D.C.
Title
Clinic Director
Phone
(213) 617-8163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC28555 CA Primary

Addresses

Primary practice location

625 W. College St.
Suite 206
Los Angeles, CA 90012

Mailing address

625 W. College St.
Suite 206
Los Angeles, CA 90012
Phone (213) 617-8163

Other names 1

  • Omni Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

625 W College St
Ste 206
Los Angeles, CA 90012
Phone (213) 413-2225

Practitioners & affiliated clinicians

Practitioners 3

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881788487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W. COLLEGE ST.",
            "address_2": "SUITE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90012",
            "telephone_number": "213-617-8163",
            "fax_number": "213-617-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W. COLLEGE ST.",
            "address_2": "SUITE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90012",
            "telephone_number": "213-617-8163",
            "fax_number": "213-617-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOO OMNI WELLNESS CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "BYUNG",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "213-617-8163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.