Provider Demographics
NPI:1770395758
Name:LUM SPORTS & FAMILY CHIROPRACTIC P.C
Entity type:Organization
Organization Name:LUM SPORTS & FAMILY CHIROPRACTIC P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:213-324-8497
Mailing Address - Street 1:1321 S GREENWOOD AVE APT 12
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-6359
Mailing Address - Country:US
Mailing Address - Phone:213-324-8497
Mailing Address - Fax:
Practice Address - Street 1:11506 TELEGRAPH RD STE 214
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-3100
Practice Address - Country:US
Practice Address - Phone:323-693-3525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty