Provider Demographics
NPI:1265739718
Name:CHRISTIAN CHEE CHIROPRACTIC INC
Entity type:Organization
Organization Name:CHRISTIAN CHEE CHIROPRACTIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-587-9990
Mailing Address - Street 1:20671 LAKE FOREST DR
Mailing Address - Street 2:STE B-102
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-7746
Mailing Address - Country:US
Mailing Address - Phone:949-587-9990
Mailing Address - Fax:
Practice Address - Street 1:20671 LAKE FOREST DR
Practice Address - Street 2:STE B-102
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-7746
Practice Address - Country:US
Practice Address - Phone:949-587-9990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30290111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty