Provider Demographics
NPI:1538493002
Name:DR. LOUIS H. WOELFEL, CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:DR. LOUIS H. WOELFEL, CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:WOELFEL
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:310-540-9796
Mailing Address - Street 1:800 TORRANCE BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3591
Mailing Address - Country:US
Mailing Address - Phone:310-540-9796
Mailing Address - Fax:
Practice Address - Street 1:800 TORRANCE BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3591
Practice Address - Country:US
Practice Address - Phone:310-540-9796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28551111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC28551Medicare UPIN