Provider Demographics
NPI:1811529829
Name:LA PAZ CHIROPRACTIC AND REHABILITATION, INC. PREZIOSI, ADAMO
Entity type:Organization
Organization Name:LA PAZ CHIROPRACTIC AND REHABILITATION, INC. PREZIOSI, ADAMO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-892-8644
Mailing Address - Street 1:25251 PASEO DE ALICIA STE 204
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4616
Mailing Address - Country:US
Mailing Address - Phone:949-770-8767
Mailing Address - Fax:
Practice Address - Street 1:25251 PASEO DE ALICIA STE 204
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4616
Practice Address - Country:US
Practice Address - Phone:949-770-8767
Practice Address - Fax:949-415-7899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty