Provider Demographics
NPI:1376941146
Name:SOHMA INTEGRATIVE HEALTH CENTER HOOVER CHIROPRACTIC INC
Entity Type:Organization
Organization Name:SOHMA INTEGRATIVE HEALTH CENTER HOOVER CHIROPRACTIC INC
Other - Org Name:SOHMA INTEGRATIVE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:562-420-2112
Mailing Address - Street 1:4195 N VIKING WAY
Mailing Address - Street 2:SUITE F
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1466
Mailing Address - Country:US
Mailing Address - Phone:562-420-2112
Mailing Address - Fax:562-420-2110
Practice Address - Street 1:4195 N VIKING WAY
Practice Address - Street 2:SUITE F
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808
Practice Address - Country:US
Practice Address - Phone:562-420-2112
Practice Address - Fax:562-420-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA285101041C0700X
CA16178111N00000X
CA33029171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty