Provider Demographics
NPI:1649964701
Name:DR. SMIT'S LA CHIROPRACTIC AND NATURAL HEALTH CENTER, INC.
Entity type:Organization
Organization Name:DR. SMIT'S LA CHIROPRACTIC AND NATURAL HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINH
Authorized Official - Middle Name:LE
Authorized Official - Last Name:SMIT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:323-377-4767
Mailing Address - Street 1:1306 EL VAGO ST
Mailing Address - Street 2:
Mailing Address - City:LA CANADA FLINTRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91011-1743
Mailing Address - Country:US
Mailing Address - Phone:323-377-4767
Mailing Address - Fax:
Practice Address - Street 1:761 E GREEN ST STE 4
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2124
Practice Address - Country:US
Practice Address - Phone:626-345-5292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty