Pinson Chiropractic, Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27356 Issued in CA

Legal business name

PINSON CHIROPRACTIC, PROFESSIONAL CORPORATION

Doing business as

Grand Avenue Chiropractic

Practice address

910 Grand Ave
Suite 109
San Diego, CA 92109-4046

Phone

(858) 273-1721

Fax

(858) 273-3207

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward Lloyd Lauda, D.C.

Title

President

Phone

(858) 273-1721

Specialties & licenses 1

Addresses

Other names 1

• Grand Avenue Chiropractic Doing business as

Tax ID family

Grand Avenue Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PB Chiropractic Inc.

  • Sports Physician Chiropractor
  • San Diego, CA
  • NPI 1164479713
  NPD tax ID

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1912061177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GRAND AVE",
            "address_2": "SUITE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094046",
            "telephone_number": "858-273-1721",
            "fax_number": "858-273-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GRAND AVE",
            "address_2": "SUITE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094046",
            "telephone_number": "858-273-1721",
            "fax_number": "858-273-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINSON CHIROPRACTIC, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "LAUDA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-273-1721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Avenue Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guadalupe Pino, LCSW
• Lisa Nicole Pino
• Nicole M Pino
• Pinover Psychology Corporation
• Michael B Pinover
• Edward Lloyd Pinson, D.C.
• Jennifer Lisa Pinterich, LVN
• Whitney Pinto, RN, PHN
• Isaiah Pinuelas-Morineau
• Sofia Pinzauti

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.