Provider Demographics
NPI:1083345144
Name:LNBC, INC
Entity Type:Organization
Organization Name:LNBC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIKYONG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:858-484-4242
Mailing Address - Street 1:12798 RANCHO PENASQUITOS BLVD STE J
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2951
Mailing Address - Country:US
Mailing Address - Phone:858-484-4242
Mailing Address - Fax:858-484-4002
Practice Address - Street 1:12798 RANCHO PENASQUITOS BLVD STE J
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2951
Practice Address - Country:US
Practice Address - Phone:858-484-4242
Practice Address - Fax:858-484-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty