Provider Demographics
NPI:1912773334
Name:LAKEWOOD CHIRO& MEDICAL CENTER DBA
Entity Type:Organization
Organization Name:LAKEWOOD CHIRO& MEDICAL CENTER DBA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:ELSAYED
Authorized Official - Last Name:HASSANIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-210-5141
Mailing Address - Street 1:5220 CLARK AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-2641
Mailing Address - Country:US
Mailing Address - Phone:562-210-5141
Mailing Address - Fax:562-210-5127
Practice Address - Street 1:5220 CLARK AVE STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-2641
Practice Address - Country:US
Practice Address - Phone:562-210-5141
Practice Address - Fax:562-210-5127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty