Provider Demographics
NPI:1912631219
Name:LJ ALLIANCE LLC
Entity Type:Organization
Organization Name:LJ ALLIANCE LLC
Other - Org Name:ALTA VISTA CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-450-3074
Mailing Address - Street 1:1781 W 9000 S
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-6502
Mailing Address - Country:US
Mailing Address - Phone:801-562-5600
Mailing Address - Fax:801-255-7104
Practice Address - Street 1:1781 W 9000 S
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-6502
Practice Address - Country:US
Practice Address - Phone:801-562-5600
Practice Address - Fax:801-255-7104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty