Provider Demographics
NPI:1093447047
Name:LA PALMA HEALTH GROUP, INC.
Entity Type:Organization
Organization Name:LA PALMA HEALTH GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-468-0023
Mailing Address - Street 1:5471 LA PALMA AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-4700
Mailing Address - Country:US
Mailing Address - Phone:562-468-0023
Mailing Address - Fax:562-468-0025
Practice Address - Street 1:5471 LA PALMA AVE STE 202
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-4700
Practice Address - Country:US
Practice Address - Phone:562-468-0023
Practice Address - Fax:562-468-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty