Provider Demographics
NPI:1376915470
Name:TA'S BETTER HEALTH CHIROPRACTIC CLINIC INC
Entity Type:Organization
Organization Name:TA'S BETTER HEALTH CHIROPRACTIC CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KHOA
Authorized Official - Middle Name:
Authorized Official - Last Name:TA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-415-6213
Mailing Address - Street 1:9105 VALLEY BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1919
Mailing Address - Country:US
Mailing Address - Phone:626-415-6213
Mailing Address - Fax:626-773-8996
Practice Address - Street 1:9105 VALLEY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1919
Practice Address - Country:US
Practice Address - Phone:626-415-6213
Practice Address - Fax:626-773-8996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-28
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC32671111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty