Provider Demographics
NPI:1700906682
Name:RICE CHIROPRACTIC PROFESSIONAL CORP
Entity Type:Organization
Organization Name:RICE CHIROPRACTIC PROFESSIONAL CORP
Other - Org Name:ATLAS WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-540-6792
Mailing Address - Street 1:3303 HARBOR
Mailing Address - Street 2:FS
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626
Mailing Address - Country:US
Mailing Address - Phone:714-540-6792
Mailing Address - Fax:714-540-6794
Practice Address - Street 1:3303 HARBOR
Practice Address - Street 2:FS
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626
Practice Address - Country:US
Practice Address - Phone:714-540-6792
Practice Address - Fax:714-540-6794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACADC28155111N00000X
CACADC28610111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty