Organization Active NPI

Diep New Life Chiropractic, Inc.

  • Chiropractor
  • El Monte, CA
National Provider Identifier
1972706869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28563 Issued in CA
Legal business name
DIEP NEW LIFE CHIROPRACTIC, INC.
Practice address
10476 Valley Blvd
Suite 1
El Monte, CA 91731-2459
Phone
(626) 279-9041
Fax
(626) 377-4548
NPI assigned
Jun 7, 2007
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. Kimberly A. Diep, D.C.NPI 1346465408
Title
Doctor of Chiropractic
Phone
(626) 279-9041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC28563 CA Primary

Addresses

Primary practice location

10476 Valley Blvd
Suite 1
El Monte, CA 91731-2459

Mailing address

10476 Valley Blvd
Suite 1
El Monte, CA 91731-2459
Phone (626) 279-9041

National Provider Directory

National Provider Directory

Locations

10476 Valley Blvd
Ste 1
El Monte, CA 91731
Phone (626) 279-9041

Practitioners & affiliated clinicians

Practitioners 1

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972706869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10476 VALLEY BLVD",
            "address_2": "SUITE 1",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312459",
            "telephone_number": "626-279-9041",
            "fax_number": "626-377-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10476 VALLEY BLVD",
            "address_2": "SUITE 1",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312459",
            "telephone_number": "626-279-9041",
            "fax_number": "626-377-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEP NEW LIFE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIEP",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "626-279-9041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, 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.