Active NPI
Phillip Eng, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1992798359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14017
- Practice address
- 941 Nordica Dr
Los Angeles, CA 90065-4212 - Phone
- (213) 507-6617
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14017 | CA | Primary |
Addresses
Primary practice location
941 Nordica Dr
Los Angeles, CA 90065-4212
Mailing address
941 Nordica Dr
Los Angeles, CA 90065-4212
Phone (213) 507-6617
Other names 1
- Triad Chiropractic Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14017 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1992798359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 NORDICA DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900654212",
"telephone_number": "213-507-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 NORDICA DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900654212",
"telephone_number": "213-507-6617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRIAD CHIROPRACTIC",
"last_name": "CENTER",
"credential": "DC",
"code": "2",
"type": "Professional Name"
}
]
}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 Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.