Provider Demographics
NPI:1356641971
Name:RAY A. PEVEY CHIROPRACTIC A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:RAY A. PEVEY CHIROPRACTIC A PROFESSIONAL CORPORATION
Other - Org Name:ARCADIA CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-447-4442
Mailing Address - Street 1:423 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3830
Mailing Address - Country:US
Mailing Address - Phone:626-437-5411
Mailing Address - Fax:626-447-2835
Practice Address - Street 1:423 SOUTH FIRST AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3831
Practice Address - Country:US
Practice Address - Phone:626-447-4442
Practice Address - Fax:626-447-2835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16023111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty