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MISSION LAKE CHIROPRACTIC CENTER NPI 1154435154


NPI Information

NPI: 1154435154
Provider Name: MISSION LAKE CHIROPRACTIC CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3600 LIME ST STE 210
RIVERSIDE, CA
ZIP 92501
Phone: (951) 683-6600
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MISSION LAKE CHIROPRACTIC CENTER is a chiropractor in Riverside, 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. MISSION LAKE CHIROPRACTIC CENTER NPI is 1154435154. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3600 LIME ST STE 210
RIVERSIDE, CA
ZIP 92501-900
Phone: (951) 683-6600
Fax: (951) 683-6644

The provider's authorized official is Ali Khamsei .
The authorized official title is Co-owner/ Doctor and has the following contact phone number (951) 683-6600.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC28966CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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