Provider Demographics
NPI:1134458151
Name:NU IMAGE NOW WELLNESS CENTER
Entity type:Organization
Organization Name:NU IMAGE NOW WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:HIROSHI
Authorized Official - Last Name:LUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-938-7665
Mailing Address - Street 1:3351 E HILL ST
Mailing Address - Street 2:
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-1219
Mailing Address - Country:US
Mailing Address - Phone:562-938-7665
Mailing Address - Fax:562-684-4173
Practice Address - Street 1:3351 E HILL ST
Practice Address - Street 2:
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-1219
Practice Address - Country:US
Practice Address - Phone:562-938-7665
Practice Address - Fax:562-684-4173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26768111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty