Provider Demographics
NPI:1568955524
Name:DR. WILLIAM VY CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:DR. WILLIAM VY CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-495-1100
Mailing Address - Street 1:17900 BROOKHURST ST STE B
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5141
Mailing Address - Country:US
Mailing Address - Phone:657-400-5248
Mailing Address - Fax:714-839-8145
Practice Address - Street 1:17900 BROOKHURST ST STE B
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5141
Practice Address - Country:US
Practice Address - Phone:657-400-5248
Practice Address - Fax:714-839-8145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2022-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34225111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty