Provider Demographics
NPI:1477733517
Name:YOUDEEM CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:YOUDEEM CHIROPRACTIC CORPORATION
Other - Org Name:YOUDEEM CHIROPRACTIC CORP
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUDEEM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-527-7463
Mailing Address - Street 1:9922 WALKER ST STE G
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3097
Mailing Address - Country:US
Mailing Address - Phone:714-527-7463
Mailing Address - Fax:
Practice Address - Street 1:9922 WALKER ST STE G
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3097
Practice Address - Country:US
Practice Address - Phone:714-527-7463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center