Provider Demographics
NPI:1427014687
Name:LA MIG, SYDNEY SOKHARY PECH (DC)
Entity Type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:SOKHARY PECH
Last Name:LA MIG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 PADDY LN
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-5237
Mailing Address - Country:US
Mailing Address - Phone:626-851-9307
Mailing Address - Fax:626-851-9307
Practice Address - Street 1:206 E LAS TUNAS DR
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1411
Practice Address - Country:US
Practice Address - Phone:626-246-8417
Practice Address - Fax:626-851-9307
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30145111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist