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NAZARETH CLINIC CORP NPI 1598923716


NPI Information

NPI: 1598923716
Provider Name: NAZARETH CLINIC CORP

Doing Business As: NAZARETH CLINIC

Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
2140 W OLYMPIC BLVD STE 321
LOS ANGELES, CA
ZIP 90006
Phone: (213) 389-5865
Get Directions

NAZARETH CLINIC CORP is a sports physician chiropractor in Los Angeles, CA. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. NAZARETH CLINIC CORP NPI is 1598923716. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nazareth Clinic.

The provider's business location address is:

2140 W OLYMPIC BLVD STE 321
LOS ANGELES, CA
ZIP 90006-279
Phone: (213) 389-5865

The provider's authorized official is Lee Chou .
The authorized official title is Ceo and has the following contact phone number (213) 389-5865.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 5/23/2008.


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
1111N00000XChiropractorDC25845CALIFORNIANo
2171100000XAcupuncturistAC 6463CALIFORNIANo
3111NS0005XChiropractorSports PhysicianDC 25845CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DC 25845OTHERCALIFORNIACALIFORNIA BOARD OF CHIROPRACTIC EXAMINERS
2AC 6463OTHERCALIFORNIACALIFORNIA ACUPUNCTURE BOARD

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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