Provider Demographics
NPI:1942605407
Name:NICHOLAS T LAHOOD CHIROPRACTIC INC
Entity Type:Organization
Organization Name:NICHOLAS T LAHOOD CHIROPRACTIC INC
Other - Org Name:ADVANCED CHIROPRACTIC AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:T
Authorized Official - Last Name:LAHOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:858-987-8282
Mailing Address - Street 1:9932 MERCY RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-5033
Mailing Address - Country:US
Mailing Address - Phone:858-987-8282
Mailing Address - Fax:858-987-8383
Practice Address - Street 1:9932 MERCY RD
Practice Address - Street 2:UNIT 106
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129
Practice Address - Country:US
Practice Address - Phone:858-987-8282
Practice Address - Fax:858-987-8383
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. NICHOLAS LAHOOD CHIROPRACTIC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-27
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31863111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty