Provider Demographics
NPI:1881062032
Name:CHIU CHIROPRACTIC CENTER INC
Entity type:Organization
Organization Name:CHIU CHIROPRACTIC CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNY
Authorized Official - Middle Name:TYH CHING
Authorized Official - Last Name:CHIU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-282-7300
Mailing Address - Street 1:801 W VALLEY BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3250
Mailing Address - Country:US
Mailing Address - Phone:626-282-7300
Mailing Address - Fax:626-282-7380
Practice Address - Street 1:801 W VALLEY BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3250
Practice Address - Country:US
Practice Address - Phone:626-282-7300
Practice Address - Fax:626-282-7380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 11228171100000X
CADC29913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty