Provider Demographics
NPI:1205544053
Name:PETER YI CHIROPRACTIC INC
Entity type:Organization
Organization Name:PETER YI CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-737-7141
Mailing Address - Street 1:1255 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-2407
Mailing Address - Country:US
Mailing Address - Phone:714-737-7141
Mailing Address - Fax:562-448-3099
Practice Address - Street 1:1255 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-2407
Practice Address - Country:US
Practice Address - Phone:714-737-7141
Practice Address - Fax:562-448-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service