Provider Demographics
NPI:1417524497
Name:YI C CHEN CHIROPRACTIC CORP
Entity Type:Organization
Organization Name:YI C CHEN CHIROPRACTIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNY
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHIU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-262-1789
Mailing Address - Street 1:13890 PEYTON DR STE C
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1612
Mailing Address - Country:US
Mailing Address - Phone:626-262-1789
Mailing Address - Fax:
Practice Address - Street 1:13890 PEYTON DR STE C
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-1612
Practice Address - Country:US
Practice Address - Phone:626-262-1789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty