Provider Demographics
NPI:1134211360
Name:HEALTHWORKS CHIROPRACTIC
Entity type:Organization
Organization Name:HEALTHWORKS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:RICCHIAZZI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:626-698-0655
Mailing Address - Street 1:960 E GREEN ST
Mailing Address - Street 2:SUITE L-3
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2401
Mailing Address - Country:US
Mailing Address - Phone:626-698-0655
Mailing Address - Fax:626-737-0285
Practice Address - Street 1:960 E GREEN ST
Practice Address - Street 2:SUITE L-3
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2401
Practice Address - Country:US
Practice Address - Phone:626-698-0655
Practice Address - Fax:626-737-0285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29965111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty