CLISBY CHIROPRACTIC INC NPI 1104144112

NPI Information

  • NPI: 1104144112
  • Provider Name: CLISBY CHIROPRACTIC, INC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: BEACHSIDE WELLNESS GROUP
  • Address: 100 W BROADWAY
    STE. 1400
    LONG BEACH, CA
    ZIP 90802
  • Phone: (562) 495-2121

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NPI Details

CLISBY CHIROPRACTIC, INC is a chiropractor in Long Beach, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CLISBY CHIROPRACTIC, INC NPI is 1104144112. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Beachside Wellness Group.

The provider's business location address is:

100 W BROADWAY
STE. 1400
LONG BEACH, CA
ZIP 90802-431
Phone: (562) 495-2121
Fax: (562) 495-3131

The provider's authorized official is Kerry Clisby .
The authorized official title is Doctor and has the following contact phone number (562) 495-2121.

The enumeration date for this NPI number is 5/14/2010 and was last updated on 5/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorDC-30596CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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