Provider Demographics
NPI:1922245869
Name:THIEU DANG CHIROPRACTIC INC
Entity Type:Organization
Organization Name:THIEU DANG CHIROPRACTIC INC
Other - Org Name:CHIROPRACTIC ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THIEU
Authorized Official - Middle Name:HUY
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP
Authorized Official - Phone:714-890-9066
Mailing Address - Street 1:9061 BOLSA AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5558
Mailing Address - Country:US
Mailing Address - Phone:714-890-9066
Mailing Address - Fax:714-890-9076
Practice Address - Street 1:9061 BOLSA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5558
Practice Address - Country:US
Practice Address - Phone:714-890-9066
Practice Address - Fax:714-890-9076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty